Pneumonia due to Neisseria meningitidis in a COVID-19 positive patient
DOI:
https://doi.org/10.51481/amc.v66i3.1429Keywords:
meningococcemia, meningitis, bacteremia, Neiserria meningitidis, pneumoníaAbstract
A 79-year-old male patient with a medical history of hypertension and obesity was admitted to the shock room with an oxygen saturation of 70% on room air. A nasopharyngeal swab was performed, detecting an infection with the SARS-CoV-2 virus. Due to slight improvement, a bronchial aspirate was obtained, initially isolating Neisseria meningitidis, and later Stenotrophomonas maltophilia and Candida albicans. The clinical manifestations of pneumonia caused by N. meningitidis are similar to those caused by other pathogens responsible for lower respiratory tract infections. The most important symptoms are fever and pleuritic chest pain, highlighting the importance of identifying the causal agent in any patient with acute pneumonia, including those with a positive COVID-19 diagnosis. The likelihood of infection is higher in older adults with underlying medical conditions, as seen in this case. The clinical evaluation was performed considering laboratory procedures that allowed pathogen isolation and tests confirming its identification
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References
1. Pizza M, Rappuoli R. Neisseria meningitidis: pathogenesis and immunity. Curr Opin Microbiol. 2015; 23:68-72. DOI: 10.1016/j.mib.2014.11.006.
2. Rouphael NG, Stephens DS. Neisseria meningitidis: biology, microbiology, and epidemiology. Methods Mol Biol. 2012; 799:1-20. DOI: 10.1007/978-1-61779-346-2_1
3. J Hill D, J Griffiths N, Borodina E, Virji M. Cellular and molecular biology of Neisseria meningitidis colonization and invasive disease. Clin Sci (Lond). 2010; 9;118 547-564. DOI: 10.1042/CS20090513
4. Rubilar PS, Barra GN, Gabastou JM, Alarcón P, Araya P, Hormazábal JC, Fernandez J. Increase of Neisseria meningitidis W:cc11 invasive disease in Chile has no correlation with carriage in adolescents. PLoS One. 2018; 8;13: 0193572. DOI: 10.1371/journal.pone.0193572.
5. García S, Sorhuet C, Perazzi B, Losada M, Cabellos G, Casco R, et al. Neisseria meningitidis aislada de muestras de hombres que tienen sexo con hombres [Neisseria meningitidis isolated from patients in men who have sex with men]. Rev Argent Microbiol. 2020:101-106. Spanish. DOI: 10.1016/j.ram.2019.03.009.
6. Munguambe A, de Almeida A, Nhantumbo A, Come C, Zimba T, Paulo Langa J, de Filippis I, et al. Characterization of strains of Neisseria meningitidis causing meningococcal meningitis in Mozambique, 2014: Implications for vaccination against meningococcal meningitis. PLoS One. 2018; 8;13:0197390. DOI: 10.1371/journal.pone.0197390
7. Yubini M, Contreras C, Díaz G, Cerda M, Guíñez D, Rogers N, et al. Neisseria meningitidis pneumonia. A case report. Rev Med Chil. 2018; 146:249-253. DOI: 10.4067/s0034-98872018000200249.
8. Chen X, Liao B, Cheng L, Peng X, Xu X, Li Y, et al. The microbial coinfection in COVID-19. Appl Microbiol Biotechnol. 2020;1-9. DOI 10.1007/s00253-020-10814-6.
9. Brueggemann A, Jansen M, Shaw D, McCarthy N, Jolley K, Maiden M, et al. Changes in the incidence of invasive disease due to Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis during the COVID-19 pandemic in 26 countries and territories in the Invasive Respiratory Infection Surveillance Initiative: a prospective analysis of surveillance data. Lancet Digit Health. 2021;3:e360-e370. DOI: 10.1016/S2589-7500(21)00077-7
10. Quiñones D, Soto A, Quilca L. Frecuencia de coinfección por patógenos respiratorios y su impacto en el pronóstico de pacientes con COVID-19. Revista de la Facultad de Medicina Humana. 2021; 21: 610-622. https://dx.DOI.org/10.25176/rfmh.v21i3.3520
11. Valdez M, Sharma R, Joshi J, Sandhu H, Mishra S, Kuran R, Heidari A. A Double Whammy Pneumonia: The First Reported Case of Concurrent Neisseria meningitidis and SARS-CoV-2 Pneumonia. J Investig Med High Impact Case Rep. 2022 Jan-Dec; DOI: 10.1177/23247096221111764
12. Martín M, Clavero D, Castillo A, García E. Neisseria meningitidis bacteremia and SARS-CoV-2 infection: a coinfection that reminds previous epidemic outbreaks. Rev Esp Quimioter. 2022; 35:293-294. DOI: 10.37201/req/151.2021
13. Corzo-Delgado JE, Gómez-Mateos JM. Stenotrophomonas maltophilia, an increasingly important nosocomial pathogen. Enferm Infecc Microbiol Clin. 2006;24:1-3. Spanish. DOI: 10.1157/13083366.
14. Algarín-Lara H, Guevara-Romero E, Osorio-Rodríguez E, Patiño-Patiño J, Flórez García V, Tuesca RDJ, Aldana-Roa M, Arciniegas-Vergel YS, Rodado-Villa R. Factors related to bacterial pneumonia in patients with COVID-19 in an intensive care unit in Barranquilla, Colombia. Acta Colombiana de Cuidado Intensivo. 2022 ;22: S28–35. DOI: 10.1016/j.acci.2021.07.002
15. Nebreda-Mayoral T, Miguel-Gómez MA, March-Rosselló GA, Puente-Fuertes L, Cantón-Benito E, Martínez-García AM, Muñoz-Martín AB, Orduña-Domingo A. Bacterial/fungal infection in hospitalized patients with COVID-19 in a tertiary hospital in the Community of Castilla y León, Spain. Enferm Infecc Microbiol Clin (Engl Ed). 2020 Dec 3;40: 158–165. DOI: 10.1016/j.eimc.2020.11.003
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