CASE REPORT OF MENINGOCOCCAL PNEUMONIA

Tung Phi Nguyen1,, Thang Trong Khong1, Nam Ngoc Phuong Nguyen1, Phong Van Phan1, Nga Thi Kim Huynh1, Hoai Thi Thu Vu1, Yen Thi Kim Nguyen1, Hue Thi Le1, Loan Thi Phan1, Khanh Hoang Phuong Nguyen2
1 Intensive Care Unit, Vinmec Healthcare System
2 Pharmacy Department, Vinmec Healthcare System

Main Article Content

Abstract

Meningococcal pneumonia, an infrequent presentation of invasive meningococcal disease. We report a case of an elderly patient with a medical history of chronic obstructive pulmonary disease (COPD) and prostate cancer undergoing chemotherapy, who presented with pneumonia, hypoxemia, and respiratory failure. The causative pathogen for the pneumonia was identified as a multi-drug resistant strain of Neisseria meningitidis. he patient did not show signs of meningitis or bacteremia. The patient received high-flow nasal cannula oxygen therapy and appropriate antibiotics, and was discharged after a ten-day hospitalization. Isolation and prophylaxis measures were implemented for healthcare workers and close contacts, with no secondary infections observed. This clinical case highlights the importance of considering meningococcal pneumonia as a potential cause of pneumonia in at-risk populations such as elderly patients, immunocompromised individuals, or those with chronic lung disease. Additionally, the antimicrobial resistance of the bacterium may have implications for current treatment and prevention strategies.

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References

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