Chorioamnionitis Caused by Morganella Morganii in a Patient With Recent Infection by Sars-cov-2: A Case Report

Author:

Pineda Johanna Carolina Arango1,Casañas Andrés Mauricio Hernández2,Hoyos Juan José Saldarriaga2,Caipe Natalia Catalina Riascos1,Rua Diana Marcela Paez2

Affiliation:

1. Fundación Valle del Lili

2. Icesi University

Abstract

Abstract INTRODUCTION: Morganella morganii is a facultative anaerobic gram-negative bacillus that has been described as a cause of neonatal sepsis, meningitis and chorioamnionitis, however in observational studies it has been reported as a rare cause. CASE SUMMARY: 36-year-old pregnant patient, gravida 2 cesarean sections 1, with 24.1 weeks of gestation presented with chorioamnionitis caused by Morganella Morganii with comorbidity of recent SARS-COV2 infection. Termination of pregnancy by cesarean section was required, associated with fatal neonatal outcome. She received dual antibiotic therapy without experiencing any other maternal complications. CONCLUSION: Chorioamnionitis caused by M. morganii is a rare entity but represents a significant cause of morbidity for the maternal-fetal binomial. It is important to identify other comorbidities in pregnant women that can be considered as possible predisposing factors for this entity, so early identification and treatment should be sought.

Publisher

Research Square Platform LLC

Reference14 articles.

1. HUI 2016: Liu H, Zhu J, Hu Q, Rao X. (2016). Morganella morganii, a non-negligent opportunistic pathogen. International Journal of Infectious Diseases, 50, 10–17.

2. Surveillance for incidence and etiology of early-onset neonatal sepsis in Soweto,South Africa. PLOS ONE, 14(4), e0214077. doi:10.1371/journal.pone.0214077.

3. Enterobacteria vaginal colonization among patients with preterm premature rupture of membranes from 24 to 34 weeks of gestation and neonatal infection risk;Merello M;J Gynecol Obstet Hum Reprod,2018

4. SOFANIT 2020: Dessie, Dobariya SA, Singh V, D., He P. (2020). A Case of Morganella morganii-induced Fetal Demise. Cureus, 12(3).

5. Bacterial colonization of amniotic fluid from intact fetal membranes;Miller JM;Am J Obstet Gynecol,1980

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