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Published on: February 23, 2014
Primary meningococcal pneumonia
Abstract:
Three cases of pneumonia caused by Neisseria meningitidis group Y are reported. From the results of these cases, the following conclusions were made. N. meningitidis probably can cause serious infection without preceding blood stream invasion. Primary meningococcal pneumonia is not rare; it has no distinctive clinical presentation; and it may not be recognized by routine expectorated sputum cultures. In addition, it may be associated with recent influenzal and adenoviral infections. Lastly, meningococci of the serogroup Y are capable of causing serious disease. Antimicrobial susceptibility studies showed that all three group Y isolates were sensitive to sulfadiazine and rifampin as well as to penicillin, ampicillin, erythromycin, and chloramphenicol.
Insights
Neisseria meningitidis group Y can cause severe pneumonia without bloodstream invasion. This primary meningococcal pneumonia often lacks distinct symptoms and may be linked to viral infections.
Area of Science:
- Infectious Diseases
- Pulmonary Medicine
- Bacteriology
Background:
- Neisseria meningitidis is a common cause of meningitis and sepsis.
- Pneumonia is typically associated with other bacterial or viral pathogens.
- The role of Neisseria meningitidis in primary pneumonia requires further elucidation.
Purpose of the Study:
- To report cases of pneumonia caused by Neisseria meningitidis group Y.
- To investigate the clinical presentation and characteristics of primary meningococcal pneumonia.
- To assess the antimicrobial susceptibility of Neisseria meningitidis group Y isolates.
Main Methods:
- Case reporting of three patients with Neisseria meningitidis group Y pneumonia.
- Clinical data collection including symptoms, diagnosis, and outcomes.
- Antimicrobial susceptibility testing of the causative isolates.
Main Results:
- Three cases of confirmed Neisseria meningitidis group Y pneumonia were identified.
- Infection occurred without preceding bloodstream invasion in these cases.
- Isolates demonstrated sensitivity to common antibiotics including penicillin, ampicillin, erythromycin, chloramphenicol, sulfadiazine, and rifampin.
Conclusions:
- Neisseria meningitidis group Y can cause severe pneumonia, potentially without bacteremia.
- Primary meningococcal pneumonia may present non-specifically and evade detection by standard sputum cultures.
- Concurrent viral infections, such as influenza and adenovirus, may be associated with meningococcal pneumonia.
Related Concept Videos
Bacterial Meningitis
Atypical Pneumonia
Viral Meningitis
Cryptococcal Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology

