Meningococcal Pneumonia in a Young Healthy Male

Abstract EN

A 23-year-old male presented to the emergency department with one-day history of right-sided pleuritic chest pain, haemoptysis, and fever.

In the emergency department, the blood pressure was 140/60 mmHg, heart rate 89/min, body temperature 40°C, respiratory rates 20 breaths/min, and oxygen saturation 98% in room air.

Physical examination revealed rales and bronchial breathing in the right infrascapular region.

Laboratory analysis showed raised white blood cell counts and elevated inflammation markers.

Chest X-ray showed right lower lobe consolidation.

Intravenous(IV) ceftriaxone and doxycycline were started for the management of community-acquired pneumonia as per the local guideline.

Later, on admission, blood culture was positive for Neisseria meningitidis (N.

meningitidis).

Ceftriaxone was continued for 4 days, and the patient was discharged while being on oral amoxicillin (1 gm TDS) for another 3 days.

He remained well during the outpatient follow-up.