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Published on: July 14, 2020
Fatal acute cellulitis due to Neisseria meningitidis
Gian-Luigi Cartolano1, Christophe Barbier, Leïla Arnoult
1Department of Microbiology, CHI Poissy-Saint-Germain-en-Laye, 78105 Saint-Germain-en-Laye, France. gianluig@club-internet.fr
Abstract:
We describe the first fatal evolution of cellulitis due to Neisseria meningitidis serogroup Y involving an 85-year-old woman. She presented with an extensive cellulitis of the left side of the face, neck, and thorax and septic shock. In spite of active antibiotic therapy, evolution was rapidly fatal.
Insights
This case report details the first known fatal cellulitis caused by Neisseria meningitidis serogroup Y in an elderly woman. Despite antibiotic treatment, the infection rapidly led to death.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Medicine
Background:
- Cellulitis is a common bacterial skin infection.
- Neisseria meningitidis typically causes meningitis and sepsis.
- Serogroup Y strains are increasingly recognized in invasive disease.
Observation:
- An 85-year-old woman presented with extensive facial, neck, and thoracic cellulitis.
- The patient developed septic shock.
- The cellulitis was confirmed to be caused by Neisseria meningitidis serogroup Y.
Findings:
- This represents the first documented fatal case of cellulitis attributed to Neisseria meningitidis serogroup Y.
- The infection progressed rapidly despite appropriate antibiotic therapy.
- The patient's outcome was rapidly fatal.
Implications:
- Highlights the potential for Neisseria meningitidis serogroup Y to cause severe, rapidly progressing cellulitis.
- Underscores the importance of considering meningococcal disease in severe skin infections, especially in elderly or immunocompromised individuals.
- Suggests a need for further research into the virulence factors and clinical spectrum of Neisseria meningitidis serogroup Y infections.
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