A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis
We describe a case of late onset Morganella morganii sepsis in an extremely low birth weight male neonate born at 23 and 4/7 weeks gestational age to a 30-year-old primigravid mother due to preterm labor. The mother was otherwise healthy with an unremarkable prenatal course. She received steroids an...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Thieme Medical Publishers, Inc.
2021-04-01
|
Series: | American Journal of Perinatology Reports |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732407 |
id |
doaj-cf6c530be4f741288d127d636bc05c7f |
---|---|
record_format |
Article |
spelling |
doaj-cf6c530be4f741288d127d636bc05c7f2021-08-19T23:08:44ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052021-04-011102e113e11810.1055/s-0041-1732407A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and PeritonitisBetty Pham0Anne Denslow1Michel Mikhael2Jina Lim3Department of Pediatrics, University of California Irvine, Irvine, CaliforniaNeonatal-Perinatal Medicine Division, Children's Hospital of Orange County, Orange, CaliforniaNeonatal-Perinatal Medicine Division, Children's Hospital of Orange County, Orange, CaliforniaNeonatal-Perinatal Medicine Division, Children's Hospital of Orange County, Orange, CaliforniaWe describe a case of late onset Morganella morganii sepsis in an extremely low birth weight male neonate born at 23 and 4/7 weeks gestational age to a 30-year-old primigravid mother due to preterm labor. The mother was otherwise healthy with an unremarkable prenatal course. She received steroids and ampicillin prior to delivery. While initial blood cultures were negative, at day of life 4, the neonate developed signs of sepsis with leukocytosis and bandemia, and subsequent blood culture demonstrated growth of M. morganii. The patient then had spontaneous intestinal perforation on day of life 8 with peritoneal cultures growing M. morganii. The infant responded to standard therapy and survived to discharge, with few mild developmental delays upon outpatient follow-up. While M. morganii has been demonstrated in the neonatal population, it generally causes early onset sepsis and is associated with high mortality in preterm neonates. Here, we present this case of late onset neonatal sepsis with M. morganii complicated by spontaneous intestinal perforation, with survival in a 23 weeks gestation infant.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732407 morganella morganii spontaneous intestinal perforationneonatal sepsis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Betty Pham Anne Denslow Michel Mikhael Jina Lim |
spellingShingle |
Betty Pham Anne Denslow Michel Mikhael Jina Lim A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis American Journal of Perinatology Reports morganella morganii spontaneous intestinal perforation neonatal sepsis |
author_facet |
Betty Pham Anne Denslow Michel Mikhael Jina Lim |
author_sort |
Betty Pham |
title |
A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis |
title_short |
A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis |
title_full |
A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis |
title_fullStr |
A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis |
title_full_unstemmed |
A Case of an Extremely Low Birth Weight Infant with Morganella morganii Bacteremia and Peritonitis |
title_sort |
case of an extremely low birth weight infant with morganella morganii bacteremia and peritonitis |
publisher |
Thieme Medical Publishers, Inc. |
series |
American Journal of Perinatology Reports |
issn |
2157-6998 2157-7005 |
publishDate |
2021-04-01 |
description |
We describe a case of late onset Morganella morganii sepsis in an extremely low birth weight male neonate born at 23 and 4/7 weeks gestational age to a 30-year-old primigravid mother due to preterm labor. The mother was otherwise healthy with an unremarkable prenatal course. She received steroids and ampicillin prior to delivery. While initial blood cultures were negative, at day of life 4, the neonate developed signs of sepsis with leukocytosis and bandemia, and subsequent blood culture demonstrated growth of M. morganii. The patient then had spontaneous intestinal perforation on day of life 8 with peritoneal cultures growing M. morganii. The infant responded to standard therapy and survived to discharge, with few mild developmental delays upon outpatient follow-up. While M. morganii has been demonstrated in the neonatal population, it generally causes early onset sepsis and is associated with high mortality in preterm neonates. Here, we present this case of late onset neonatal sepsis with M. morganii complicated by spontaneous intestinal perforation, with survival in a 23 weeks gestation infant. |
topic |
morganella morganii spontaneous intestinal perforation neonatal sepsis |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732407 |
work_keys_str_mv |
AT bettypham acaseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT annedenslow acaseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT michelmikhael acaseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT jinalim acaseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT bettypham caseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT annedenslow caseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT michelmikhael caseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis AT jinalim caseofanextremelylowbirthweightinfantwithmorganellamorganiibacteremiaandperitonitis |
_version_ |
1721201913975799808 |