Key result
Emergency laparotomy and meropenem successfully treated a rare case of Morganella morganii peritonitis in a 33-year-old woman following an elective cesarean section.
Case Report (n=1)
No
Morganella morganii is a rare but important cause of cesarean section-related peritonitis that requires prompt surgical and targeted antibiotic intervention.
Alerts clinicians to rare M. morganii in post-cesarean peritonitis; case report leaves open incidence and optimal protocols.
Morganella morganii belongs to the tribe Proteeae of the Enterobacteriaceae family. This species is considered as an unusual opportunistic pathogen that mainly causes post-operative wound and urinary tract infections. In this case we report a 33 year old multigravid woman presented to the emergency with diffuse lower abdominal pain. She was on her postoperative sixth day after an elective cesarean. Physical examination showed signs of acute abdomen and laboratory findings were consistent with infection. An emergency laparatomy revealed intraabdominal purulent fluis collection and fibrin deposits on organs. Microbiologic culture resulted in M. morganii and appropriate antibiotherapy was applied. The patient was discharged with no further complications. In conclusion, M. morganii is a rare cause of cesarean section related peritonitis and our patient may be the first case of M. morganii peritonitis and the first of monobacterial infection with that organism.
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Göker et al. (2022) conducted a case report in Peritonitis caused by Morganella morganii (n=1). Emergency laparotomy and meropenem was evaluated on Clinical recovery. Emergency laparotomy and meropenem successfully treated a rare case of Morganella morganii peritonitis in a 33-year-old woman following an elective cesarean section.
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