Morganella morganii (Proteus morganii) in urogenital infections

M. morganii is a gram negative facultative anaerobic bacillus belonging to the Enterobacteriaceae family. 

Morganella morganii is considered an unusual opportunistic pathogen, contributing to post-operative wound​1​, vaginal​2​, and urinary tract infections​3​. M. morganii is resistant to multiple antibiotics (carrying resistance genes blaNDM-1 and qnrD1), posing challenges to infection control.​4​

M. morganii can cause a variety of infections: sepsis, abscess, purple urine bag syndrome, chorioamnionitis, and cellulitis, and has a high risk profile.

Morganella morganii produces high levels of histamine​5​, and may contribute to histamine intolerance symptoms in some people.

References​6​

  1. 1.
    Chander J, Singla N, Kaistha N, Gulati N. Morganella morganii could be an important intensive care unit pathogen. Indian Journal of Critical Care Medicine. Published online July 1, 2010:154-155. doi:10.4103/0972-5229.74176
  2. 2.
    Srinivasan S, Fredricks DN. The Human Vaginal Bacterial Biota and Bacterial Vaginosis. Interdisciplinary Perspectives on Infectious Diseases. Published online 2008:1-22. doi:10.1155/2008/750479
  3. 3.
    Thomas-White K, Forster SC, Kumar N, et al. Culturing of female bladder bacteria reveals an interconnected urogenital microbiota. Nat Commun. Published online April 19, 2018. doi:10.1038/s41467-018-03968-5
  4. 4.
    Liu H, Zhu J, Hu Q, Rao X. Morganella morganii, a non-negligent opportunistic pathogen. International Journal of Infectious Diseases. Published online September 2016:10-17. doi:10.1016/j.ijid.2016.07.006
  5. 5.
    Pugin B, Barcik W, Westermann P, et al. A wide diversity of bacteria from the human gut produces and degrades biogenic amines. Microbial Ecology in Health and Disease. Published online January 1, 2017:1353881. doi:10.1080/16512235.2017.1353881
  6. 6.
    Gameiro I, Botelho T, Martins AI, Henriques R, Lapa P. Morganella morganii: A Rare Cause of Early-Onset Neonatal Sepsis. Cureus. Published online September 20, 2023. doi:10.7759/cureus.45600
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