Hemorrhagic bullae associated with Morganella morganii septicemia.

To our knowledge this is the first case of hemorrhagic bullae caused by Morganella morganii septicemia. The presence of organisms in the bullae, demonstrated by Gram strain and culture, and the acral location of the bullae suggest that the skin lesions were due directly to blood-borne infection. Multiple factors predisposed this patient to gram-negative bacteremia, including lymphoma, chemotherapy, neutropenia, systemic steroids, multiple hospitalizations, and treatment with broad-spectrum antibiotics.