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

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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