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.