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Published on: November 5, 2019
Deficiency of the eighth component of complement associated with recurrent meningococcal meningitis--case report and
Daniela Dornelles Rosa1, Alessandro C Pasqualotto, Maurício de Quadros
1Internal Medicine Department, Nossa Senhora da Conceição Hospital, Porto Alegre, Rio Grande do Sul, Brazil. ddrosa@terra.com.br
Abstract:
The authors report a case of deficiency of the eighth component of complement in a young adult with a history of three episodes of meningitis; one of them proved to be meningococcal. The literature was reviewed and meningitis due to Neisseria meningitidis strains causing disease in complement-deficient and complement-sufficient patients was demonstrated. Meningococcal disease may be the first manifestation of complement deficiency; screening for complement function must be considered for those with invasive meningococcal disease, with posterior evaluation of the components of the terminal pathway of complement.
Insights
Complement deficiency can lead to recurrent meningitis, particularly meningococcal disease. Early screening for complement function is crucial in patients with invasive meningococcal infections.
Area of Science:
- Immunology
- Infectious Diseases
- Genetics
Background:
- Recurrent meningitis poses significant health risks.
- Neisseria meningitidis is a common cause of bacterial meningitis.
- Complement system deficiencies are associated with increased susceptibility to infections.
Observation:
- A young adult experienced recurrent meningitis, with one episode confirmed as meningococcal meningitis.
- The patient was diagnosed with a deficiency in the eighth component of complement.
Findings:
- Meningococcal disease can be the initial clinical presentation of complement component deficiency.
- Patients with complement deficiencies exhibit increased susceptibility to Neisseria meningitidis infections.
- Analysis of terminal complement pathway components is essential for diagnosis.
Implications:
- Screening for complement function should be considered in individuals with invasive meningococcal disease.
- Early diagnosis of complement deficiencies can guide preventative strategies and treatment.
- Understanding the role of complement in Neisseria meningitidis pathogenesis is critical for public health.
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