Acute Cellulitis: An Unusual Manifestation of Meningococcal Disease

We describe 2 patients who both developed cellulitis due to Neisseria meningitidis and review 8 other cases reported since 1966. Female patients outnumbered male patients by 8 to 2, and there were 5 children and 5 adults. Four cases were caused by the serogroup C meningococcus, 2 cases by serogroup...

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Bibliographic Details
Published in:Scandinavian journal of infectious diseases 2001, Vol.33 (1), p.56-59
Main Author: Miguel Carrascosa Porras, Victor Canduela Martínez, Isidro Mongil Ruiz, Purificación Mellado Encinas, Matilde Toval Fernández, Josefina Martínez García, Luis Carlos Martín Martín
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Aged
Aged, 80 and over
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
cellulitis
Cellulitis - microbiology
Child
Female
Human bacterial diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
Meningococcal Infections - complications
Meningococcal Infections - diagnosis
Middle Aged
Neisseria meningitidis
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Summary:We describe 2 patients who both developed cellulitis due to Neisseria meningitidis and review 8 other cases reported since 1966. Female patients outnumbered male patients by 8 to 2, and there were 5 children and 5 adults. Four cases were caused by the serogroup C meningococcus, 2 cases by serogroup B and 2 others by serogroup Y (the nature of the meningococcal group was not available in 2 cases). Diverse medical underlying conditions were present in 4 of the adult patients. The periorbital region (in all 5 children), limb (in 3 adults), neck (in 1 adult) and face and neck (in 1 adult) were the locations of the meningococcal cellulitis. In all 10 patients, a favorable clinical response to the antibiotic therapy was documented and no relapses occurred. These cases indicate that N. meningitidis should be considered as a causative agent of cellulitis in the appropriate clinical setting, particularly in children with signs of periorbital infection or adults with underlying diseases.
ISSN:0036-5548
1651-1980
DOI:10.1080/003655401750064086