{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:01:46Z","timestamp":1785391306462,"version":"3.55.0"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>\n                    Early-onset neonatal sepsis (EONS) caused by\n                    <jats:italic>Morganella morganii<\/jats:italic>\n                    is rare, particularly in extremely preterm infants, and poses diagnostic and therapeutic challenges. We report a case of EONS in an extremely preterm neonate in whom blood cultures identified\n                    <jats:italic>Morganella morganii<\/jats:italic>\n                    with\n                    <jats:italic>in vitro<\/jats:italic>\n                    susceptibility to gentamicin, which was initiated as part of the empirical treatment. Despite documented antimicrobial sensitivity, the infant showed no significant clinical improvement. Consequently, antibiotic therapy was modified based on both susceptibility testing and the evolving clinical picture, resulting in marked clinical recovery. This case highlights that antimicrobial susceptibility results should be interpreted in conjunction with the patient's clinical response and that treatment decisions in neonatal sepsis should not rely solely on\n                    <jats:italic>in vitro<\/jats:italic>\n                    sensitivity patterns, particularly when dealing with uncommon pathogens.\n                  <\/jats:p>","DOI":"10.3389\/fped.2026.1859505","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:40:35Z","timestamp":1785390035000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Discordance between in vitro susceptibility and clinical response in early-onset neonatal sepsis caused by Morganella morganii: a case report in an extremely preterm infant"],"prefix":"10.3389","volume":"14","author":[{"given":"Eman Akram Saleh","family":"Omari","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Al-Quds University","place":["Jerusalem, Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef Khaleel","family":"Albow","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University","place":["Jerusalem, Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bashaer","family":"Imad Iwaiwi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Al-Ahli Hospital","place":["Hebron, Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motee","family":"Abuawwad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University","place":["Jerusalem, Palestine"]},{"name":"Department of Pediatrics, Al-Ahli Hospital","place":["Hebron, Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.29313\/gmhc.v12i2.13940","article-title":"Evaluating risk factors for early-onset neonatal sepsis","volume":"12","author":"Iskandar","year":"2024","journal-title":"Glob Med Health Commun"},{"key":"B2","doi-asserted-by":"publisher","first-page":"496","DOI":"10.5281\/zenodo.3940163","article-title":"Risk factors and clinicobacteriological profile of early onset neonatal sepsis","volume":"7","author":"Asghar","year":"2020"},{"key":"B3","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1542\/neo.23-10-e756","article-title":"Neonatal early-onset sepsis","volume":"23","author":"Flannery","year":"2022","journal-title":"Neoreviews"},{"key":"B4","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1136\/archdischild-2019-317110","article-title":"Neonatal early onset sepsis in middle eastern countries: a systematic review","volume":"105","author":"Khalil","year":"2020","journal-title":"Arch Dis Child"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e45600","DOI":"10.7759\/cureus.45600","article-title":"Morganella morganii: a rare cause of early-onset neonatal sepsis","volume":"15","author":"Gameiro","year":"2023","journal-title":"Cureus"},{"key":"B6","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/j.ijmmb.2021.06.005","article-title":"Antimicrobial treatment of Morganella morganii invasive infections: systematic review","volume":"39","author":"Zaric","year":"2021","journal-title":"Indian J Med Microbiol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"531","DOI":"10.7326\/0003-4819-75-4-531","article-title":"Proteus infections in a general hospital. 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