Artículos de revistas
Neisseria meningitidis pneumonia. A case report Neumonía bacterémica por Neisseria meningitidis: Primer caso reportado en Chile y revisión bibliográfica
Fecha
2018Registro en:
Revista Medica de Chile, Volumen 146, Issue 2, 2018, Pages 249-253
07176163
00349887
10.4067/s0034-98872018000200249
Autor
Yubini, María Cecilia
Contreras, Caterina
Díaz, Gonzalo
Cerda, María Alejandra
Guíñez, Dannette
Rogers, Nicole
Silva, Francisco
Cornejo, Rodrigo
Institución
Resumen
© 2018, Sociedad Medica de Santiago. All Rights reserved. Few cases of bacteremic pneumonia by Neisseria meningitidis (NM) have been described worldwide; mostly in elderly patients or those with comorbidities. They appear clinically indistinguishable from other acute infectious pneumoniae, that do not develope the syndrome of meningococcemia. We report a 17-years-old male, without prior medical history, consulting in the emergency department with a 7-day history of productive cough, right pleural pain, fever and dyspnea. He was admitted to the ICU due to septic shock and respiratory distress. He was managed with vasoactive drugs and prone positioning ventilation for 48 hours. Chest radiography showed a right superior lobe condensation. The electrocardiogram and echocardiogram suggested septic myocarditis. Blood cultures demonstrated the presence of serogroup W135-NM. A lumbar puncture ruled out meningitis, and a 10-day ceftriaxone therapy was completed favorably.