Meningitis with Digital Gangrene in Meningococcal Infection: An Atypical Presentation

• Main Authors: Jitendra Singh, Dandu Himanshu, Ranjit Kumar Nim, Anju Dinkar, Kamlesh Kumar Gupta
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2016-12-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: bacterial meningitis; digital gangrene; rashless presentation; septicemia
• Online Access: https://jcdr.net/articles/PDF/9017/22206_CE(EK)_F(RK)_PF1(GU_RO)_PFA(AK)_PF2(PAG).pdf

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.