CASE REPORT OF MENINGOCOCCAL PNEUMONIA
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.
Article Details
Keywords
Neiserria Meningitidis, meningococcal pneumonia, Invasive meningococcal disease.
References
2. Bilukha, O. và Rosenstein, N. E (2005). Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP).
3. Feldman C, Anderson R (2019). Meningococcal pneumonia: a review. Pneumonia (Nathan), 11, 3.
4. Winstead JM, McKinsey DS, Tasker S, De Groote MA, Baddour LM (2000). Meningococcal pneumonia: characterization and review of cases seen over the past 25 years. Clinical Infectious Diseases, 30(1), 87-94.
5. Van CP, Nguyen TT, Bui ST, Nguyen TV, Tran HTT, Pham DT, Trieu LP, Nguyen MD (2021). Invasive Meningococcal Disease Remains a Health Threat in Vietnam People's Army. Infectious Drug Resistance, 14, 5261-5269.
6. Zalmanovici Trestioreanu A, Fraser A, Gafter-Gvili A, Paul M, Leibovici L. (2013). Antibiotics for preventing meningococcal infections. The Cochrane database of systematic reviews. 2013(10):Cd004785.