A case of meningococcal pneumonia complicated by bilateral pleurisy, pericarditis

Abstract

A clinical case of a generalized form of meningococcal infection, occurring with bilateral pneumonia and complicated by the development of bilateral pleurisy, pericarditis in a 33-year-old man, is presented. The absence of classical manifestations of the generalized form of meningococcal infection, such as hemorrhagic rash, purulent meningitis, has led to significant diagnostic difficulties. The severity of the course of the disease, heart damage in the form of myocarditis, purulent pericarditis required pericardiocentesis in a cardiology department with subsequent transfer of the patient to an infectious hospital for examination and treatment.

Keywords:meningococcal infection; meningococcus serogroup W135; pneumonia; pleurisy; pericarditis; pericardiocentesis; antibiotic therapy

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Observation, design of the article – Davydova I.V.; observation and treatment of the patient, editing of the article – Smirnova T.Yu.; observation, treatment of the patient – Litvinova O.G., Partilhaeva I.Ch.

For citation: Davydova I.V., Smirnova T.Yu., Litvinova O.G., Partilhaeva I.Ch. A case of meningococcal pneumonia complicated by bilateral pleurisy, pericarditis. Infektsionnye bolezni: novosti, mneniya, obuchenie [Infectious Diseases: News, Opinions, Training]. 2022; 11 (4): 127–33. DOI: https://doi.org/10.33029/2305-3496-2022-11-4-127-133

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CHIEF EDITOR
Aleksandr V. Gorelov
Academician of the Russian Academy of Sciences, MD, Head of Infection Diseases and Epidemiology Department of the Scientific and Educational Institute of Clinical Medicine named after N.A. Semashko ofRussian University of Medicine, Ministry of Health of the Russian Federation, Professor of the Department of Childhood Diseases, Clinical Institute of Children's Health named after N.F. Filatov, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Deputy Director for Research, Central Research Institute of Epidemiology, Rospotrebnadzor (Moscow, Russian Federation)

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