Meningitis with Digital Gangrene in Meningococcal Infection: An Atypical Presentation
Published: December 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/22206.9017
Jitendra Singh,Dandu Himanshu, Ranjit Kumar Nim, Anju Dinkar, Kamlesh Kumar Gupta
1. Senior Resident, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
2. Associate Professor, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
3. Senior Resident, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
4. Assistant Professor, Department of Microbiology, IMS, BHU, Varanasi, Uttar Pradesh, India.
5. Associate Professor, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Correspondence
Dr. Anju Dinkar,
Assistant Professor, Department of Microbiology, IMS, BHU, Varanasi-221005, Uttar Pradesh, India.
E-mail: dranjudinkar@gmail.com
Meningococcal infection is an important public health concern. Neisseria meningitidis usually colonizes the nasopharynx of healthy adolescents and adults and remains as asymptomatic colonizer, while in rare cases it may present as invasive disease as either meningitis or septicemia or both. Most of the cases have typical presentation of rashes. We hereby present a case of a 40-year-old male who presented with meningococcal meningitis and peripheral digital gangrene but without development of typical rashes. He improved by early institution of appropriate intravenous antibiotics with supportive care.
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