Self Mutilating Behaviour in Severe Meningococcal Infection; An Interesting Association
Published: May 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7719
Anju Dinkar, Jitendra Singh, Virendra Atam, Krishna Kumar Sahani, Munna Lal Patel
1. Assistant Professor, Department of Microbiology, Institute of Medical Science, BHU, Varanasi, Uttar Pradesh, India.
2. Senior Resident, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
3. Professor, Department of Medicine, King George Medical University, Lucknow, India, Uttar Pradesh, India.
4. Senior Resident, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
5. Assistant Professor, Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Correspondence
Dr. Jitendra Singh,
Senior Resident, Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
E-mail: drjitengsvm@gmail.com
Neisseria meningitidis most commonly manifests as asymptomatic colonization in the nasopharynx of healthy adolescents and adults. It may rarely present as invasive disease which may be either bacterial meningitis or meningococcal septicaemia. Hereby we report a case presented with fever and rashes, irritability followed by self mutilating behaviour who was diagnosed as a case of invasive meningococcal infection. He responded well to treatment with intravenous ceftriaxone and self mutilating behaviour was subsided completely after treatment. Necrosed tissues of fingers were amputated. With best of our knowledge, no similar case of self-mutilation associated with meningococcal infection has been reported yet.
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