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Published on: November 5, 2019
Meningococcal serotype Y myopericarditis
Joel Nkosi1, Amar Thakrar, Kanwal Kumar
1Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba R2H 2A6, Canada.
Abstract:
Involvement of the pericardium in meningococcal disease is a well-recognized but rare complication. Isolated meningococcal pericarditis is defined as purulent pericarditis without clinical evidence of meningococcemia. Neisseria meningitidis serotypes C, B, and W135 have been previously described to cause pericarditis. This is the 1st case report of isolated meningococcal myopericarditis due to N. meningitidis serotype Y.
Insights
This study reports the first case of isolated meningococcal myopericarditis caused by Neisseria meningitidis serotype Y. This rare complication of meningococcal disease highlights the importance of considering serotype Y in pericarditis cases.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Meningococcal disease, caused by Neisseria meningitidis, can rarely involve the pericardium.
- Isolated meningococcal pericarditis is purulent pericarditis without concurrent meningococcemia.
- Serotypes C, B, and W135 have been previously associated with meningococcal pericarditis.
Observation:
- This case report details an instance of isolated meningococcal myopericarditis.
- The causative agent identified was Neisseria meningitidis serotype Y.
Findings:
- This represents the first documented case of isolated meningococcal myopericarditis attributed to Neisseria meningitidis serotype Y.
- The findings expand the known serotype spectrum associated with this rare cardiac complication.
Implications:
- Clinicians should consider Neisseria meningitidis serotype Y in the differential diagnosis of isolated pericarditis or myopericarditis.
- This case underscores the diverse clinical presentations of meningococcal infections.
- Further surveillance may reveal a broader prevalence of serotype Y in meningococcal pericarditis.
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