Necrotic Periorbital Ulceration due to
Morganella morganii

R Shenoy,¹ AU Shenoy,² AM Rajay,² ZH Al Mahrooqui ^2
1 Department of Ophthalmology and ² Department of Microbiology, Sultan Qaboos University Hospital, Al Khoud, Sultanate of Oman

Morganella morganii is a gram-negative rod commonly found in the environment. It is also seen as a part of the normal flora of the intestinal tracts of humans, mammals, and reptiles, and is often encountered in postoperative and other nosocomial settings, causing a variety of infections. Eye involvement is rare, with just 1 case of endogenous endophthalmitis occurring due to Morganella bacteraemia, reported in the past 10 years.⁵ This report is of a 50-year-old man with small-cell carcinoma of the lung, who presented with bilateral periorbital ulceration that grew Morganella morganii when cultured.