Meningococcal pneumonia: presentation of three cases

Authors

  • Yolanda Pretel Internal Medicine Department, Hospital Mútua de Terrassa, Barcelona; Hospital de Martorell, Barcelona, Spain
  • Laura Beatriz Noblia-Gigena Internal Medicine Department, Hospital de Martorell, Barcelona; Hospital de Berga, Salut Catalunya Central, Barcelona, Spain https://orcid.org/0000-0002-0299-8105
  • Asialid Rodríguez Internal Medicine Department, Hospital de Berga, Salut Catalunya Central, Barcelona, Spain
  • Enric Pedrol-Clotet Internal Medicine Deparment, Hospital de Martorell, Barcelona; Hospital de Berga, Salut Catalunya Central, Barcelona, Spain

DOI:

https://doi.org/10.32818/reccmi.a8n1a8

Keywords:

Neisseria meningitidis, pneumonia, blood cultures

Abstract

Neisseria meningitidis is a rare causative agent of pneumonia. Three cases of meningococcal pneumonia diagnosed over 14 years in a center are described. There are predisposing clinical for its development such as smoking, immunological deficits or closed groups of coexistence. The main mechanism of production of meningococcal pneumonia is the aspiration of secretions from the nasopharynx to the lower airway. The meningococcus has proteins in its capsule and endotoxins that will cause lung damage, causing mortality in up to 16% of cases. The diagnosis is generally made by obtaining the results of the blood cultures, since it is not usually suspected clinically; however, since it is highly sensitive to penicillin, the indicated empirical treatment usually resolves the disease, either in outpatient or hospitalized cases.

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Published

2023-04-30

How to Cite

1.
Pretel Y, Noblia-Gigena LB, Rodríguez A, Pedrol-Clotet E. Meningococcal pneumonia: presentation of three cases. Rev Esp Casos Clin Med Intern [Internet]. 2023 Apr. 30 [cited 2024 Jul. 3];8(1):23-5. Available from: https://www.reccmi.com/RECCMI/article/view/806