A Unique Case of Severe Morganella Morganii Meningitis in Patient with Spina Bifida Oculta and Dermal Sinus

Authors: Liliya Pekova

Volume 4, Issue 1

Abstract

This case report is about a 13-year-old male patient who had spina bifida oculta at L5-S1, combined with dermal sinus. He was admitted in the Clinic of Infectious Diseases of a University Hospital in Stara Zagora with typical clinical signs of acute meningitis. Based on the anamnestic, clinical, laboratory, microbiological, virological and imaging methods, bacterial meningitis caused by Morganella morganii was diagnosed. The disease had a prolonged, severe course requiring rehospitalisation and prolonged treatment. The causative agent was only cultivated in CSF, while blood, urine and copro cultures were negative. Antibacterial treatment, despite the wide range of susceptibility of the causative agent, did not result in a favorable response. The combination of conservative and operative therapy lead to eradication of the infection and recovery.

Keywords: Morganella Morganii; Meningitis; Spina Bifida; Dermal Sinus

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