MORGANELLA MORGANII INFECTION LEADING TO PANOPTHALMITIS – A CASE REPORT FROM S.D EYE HOSPITAL A TERTIARY EYE CARE HOSPITAL

Ganga Bhavani P., Shanker Venkatesh B. M.* and Chandra Lekha P.

ABSTRACT

Morganella morganii is a opportunistic pathogenic species of Gram-negative bacteria. It is most often encountered as nosocomial infections in postoperative cases and also infrequently seen as a cause of secondary eye related diseases like panophthalmitis following trauma and cataract surgery.[1] Here we report a case of Morganella morganii induced Panophthalmitis which lead to auto evisceration and the attributable risk factor in this case was inappropriate and incomplete usage of antibiotic therapy for dacrocystitis .Conventional culture of pus from both eyes showed growth of the infectious agent a gram negative bacilli which was ascertained as Morganella morganii basing on the cultural characters and biochemical tests. For further confirmation of the identification and also for antimicrobial susceptibility Vitek 2® automated system was used. The isolate was sensitive to cefotaxime, Amikacin, Gentamycin, cefperazone /sulbactam, Piperacillin / Tazobactam, Meropenem ceftazidime cefepime, minocycline, aztreonam and resistant to cotrimoxazole Imipenem, levofloxacin, Ciprofloxacin, Tigecyclin, colistin.

Keywords: Morganella morganii, Panophthalmitis Evisceration .