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Acute meningococcal pericarditis without meningitis

S Naraqi, S A Kabins

Archives of Internal Medicine

|February 1, 1975

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Neisseria meningitidis can cause acute pericarditis, even without meningitis. This case demonstrates successful treatment of meningococcal pericarditis with oral ampicillin.

Area of Science:

Infectious Diseases
Cardiology

Background:

Neisseria meningitidis (N. meningitidis) is a primary cause of bacterial meningitis.
Meningococcal infections can rarely manifest as acute pericarditis without concurrent meningitis or significant pericardial effusion.

Purpose of the Study:

To report a case of meningococcal pericarditis successfully treated with oral ampicillin.
To highlight the potential for N. meningitidis to cause isolated acute pericarditis.

Main Methods:

A case study of an 18-year-old male presenting with symptoms of acute pericarditis.
Clinical evaluation and laboratory tests to identify the causative agent.
Treatment with a ten-day course of orally administered ampicillin.

Main Results:

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The patient recovered fully following the prescribed course of ampicillin.
No evidence of meningitis or significant pericardial effusion was noted during the illness.

Conclusions:

Acute pericarditis can be an unusual presentation of N. meningitidis infection.
Oral ampicillin is an effective treatment for meningococcal pericarditis.