Morganella morganii subspecies morganii: Introduction, Morphology, Pathogenicity, Lab Diagnosis, Treatment, Prevention, and Keynotes

Morganella morganii subspecies morganii colony morphology on CLED agar

Introduction of Morganella morganii subspecies morganii

Morganella morganii subspecies morganii is an opportunistic Gram-negative bacterium. Furthermore, it inhabits the human gastrointestinal tract. It colonizes hospital environments and causes infections in compromised hosts. Moreover, clinicians report its involvement in urinary tract and wound infections. Additionally, it emerges in postoperative and nosocomial cases. Researchers monitor its antibiotic resistance closely. Consequently, its clinical impact grows steadily. Furthermore, the bacterium adapts well to different environments. Additionally, the infection rate increases in immunocompromised patients. Hence, understanding its behavior improves patient management. Ultimately, targeted research advances therapy and control measures.

Morphology

Morganella morganii subspecies morganii presents as a slender rod-shaped bacterium. Furthermore, it exhibits a thin cell wall and delicate outer membrane. It stains pink with the Gram staining procedure. Additionally, its colonies appear convex and smooth on agar plates. Moreover, the bacterium displays motility via peritrichous flagella. Researchers observe its structure under a light microscope regularly. Consequently, its cell size remains consistent across isolates. Furthermore, the organism demonstrates uniform morphology in diverse environments. Additionally, its appearance aids in rapid laboratory identification. Hence, detailed morphological analysis contributes to accurate diagnosis.

Pathogenicity

Morganella morganii subspecies morganii acts as an opportunistic pathogen. Furthermore, it infects immunocompromised patients frequently. It causes urinary tract and wound infections effectively. Additionally, it initiates septicemia in vulnerable hosts. Moreover, clinicians document its role in nosocomial outbreaks consistently. Researchers note that it produces various toxins during infection. Consequently, the bacterium damages host tissues rapidly. Additionally, it resists several antibiotics during treatment courses. Furthermore, its virulence factors enhance infection severity markedly. Clinicians observe rapid progression in affected patients. Ultimately, proper diagnosis and treatment remain critical in managing infections.

Lab Diagnosis of Morganella morganii subspecies morganii i

Clinicians culture Morganella morganii on selective media routinely. Furthermore, they perform Gram staining for bacterial identification. It grows on blood agar with characteristic colony features. Additionally, laboratories use biochemical tests for accurate confirmation. Moreover, automated systems detect its antibiotic resistance patterns. Researchers apply PCR techniques to verify its genetic profile. Consequently, the bacterium shows distinct metabolic signatures. Furthermore, technicians observe colony morphology and odor during diagnosis. Additionally, rapid tests improve the detection speed significantly. Clinicians compare results with established reference standards. Ultimately, accurate diagnosis directs effective therapeutic strategies.

Treatment

Doctors treat Morganella morganii infections with targeted antibiotic regimens. Furthermore, they adjust therapy based on sensitivity tests consistently. Clinicians prescribe broad-spectrum antibiotics initially for quick intervention. Additionally, they tailor treatment after laboratory confirmation emerges. Moreover, supportive care aids in patient recovery noticeably. Researchers monitor treatment progress and adjust dosages regularly. Consequently, therapy adapts to evolving resistance patterns. Furthermore, clinicians administer intravenous antibiotics when necessary. Additionally, they recommend follow-up cultures to ensure bacterial clearance. Ultimately, proper treatment reduces complications and improves outcomes.

Prevention

Healthcare providers implement strict infection control measures continuously. Furthermore, they follow hand hygiene protocols meticulously. Clinicians educate patients about potential infection risks daily. Additionally, they promote proper catheter care in clinical settings. Moreover, hospitals enforce sterilization procedures across all departments. Researchers study environmental disinfection strategies to prevent the spread. Consequently, preventive actions reduce the incidence of infections markedly. Furthermore, surveillance systems detect outbreaks at early stages. Additionally, staff training reinforces effective safety practices. Clinicians administer prophylactic antibiotics when indicated. Ultimately, rigorous prevention reliably minimizes healthcare-associated infections.

Keynotes

Morganella morganii is a facultative anaerobic, gram-negative bacterium, a member of the Enterobacteriaceae family, and is considered an opportunistic pathogen, commonly found in the environment and the gastrointestinal tracts of humans, mammals, and reptiles. It has two subspecies: M. morganii subsp. morganii and M. morganii subsp. sibonii.

  • Gram-negative, facultative anaerobic rod: Morgenella morganii is a short, straight, motile rod with peritrichous flagella.
  • Ubiquitous in nature:

It’s commonly found in the environment, soil, water, and the intestinal tracts of humans, mammals, and reptiles.

  • Opportunistic pathogen:

While often a commensal, M. morganii can cause infections, particularly in immunocompromised individuals or in nosocomial settings.

Infections associated with M. morganii:

  1. Urinary tract infections
  2. Wound infections
  3. Sepsis
  4. Pneumonia
  5. Musculoskeletal infections
  6. CNS infections
  7. Chorioamnionitis
  8. Endophthalmitis
  9. Empyema

Two subspecies:

  • M. morganii subsp. morganii
  • M. morganii subsp. sibonii (differentiated by trehalose fermentation ability)

Resistance:

Morgenella morganii accumulates intrinsic and acquired multidrug resistance genes, leading to increased morbidity and mortality.

Historical classification:

Morgenella morganii was previously classified under the genus Proteus as Proteus morganii.

 

Further Readings

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC3505342/
  2. https://www.sciencedirect.com/topics/medicine-and-dentistry/morganella-morganii
  3. https://emedicine.medscape.com/article/222443-overview
  4. https://pmc.ncbi.nlm.nih.gov/articles/PMC11264931/
  5. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=89a5e2d5eb7f6938898dcb4a2e4690d0063dc49f
  6. https://www.ijidonline.com/article/S1201-9712(16)31113-4/fulltext
  7. http://ispub.com/IJID/6/2/12447
  8. https://www.researchgate.net/figure/Differentiation-of-Morganella-morganii-subspecies-and-biogroups-a-Test-of-hybridized_tbl1_328394293
  9. https://www.jaadcasereports.org/article/S2352-5126(19)30169-9/fulltext
  10. https://core.ac.uk/download/pdf/82228104.pdf
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