J Pediatr Infect Dis 2022; 17(06): 317-320
DOI: 10.1055/s-0042-1750314
Case Report

Neisseria Meningitidis Serogroup Z–Induced Meningitis: The First Case from Turkey

1   Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Hatice Kübra Konca
1   Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Ayça Nur Çelik
2   Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Edin Botan
3   Division of Pediatric Intensive Care, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Utku Çağlayan
4   Division of Pediatric Emergency, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Halil Özdemir
1   Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Göksel Vatansever
4   Division of Pediatric Emergency, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Tanıl Kendirli
3   Division of Pediatric Intensive Care, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
,
Ergin Çiftçi
1   Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey
› Institutsangaben
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Abstract

Neisseria meningitidis is a significant worldwide cause of bacterial meningitis and sepsis. High case-fatality rates and severe complications in survivors can occur. We present a 1-month 23-day-old case diagnosed with meningococcal meningitis and sepsis, in which serogroup Z of N. meningitidis was isolated from cerebrospinal fluid and blood cultures and treated with ceftriaxone for 7 days. Our patient is the first case of N. meningitidis serogroup Z–induced invasive meningococcal infection in Turkey. N. meningitidis serogroup Z is not included in the current meningococcal vaccines. It is concerning that a nonvaccine serogroup caused this invasive meningococcal disease and that even if the vaccine would cover this serogroup, it has happened before the usual age of administration. Therefore, meningococcal disease surveillance should continue, and an effective prevention and control strategy for nonvaccine serogroups should be implemented.



Publikationsverlauf

Eingereicht: 16. Februar 2022

Angenommen: 05. Mai 2022

Artikel online veröffentlicht:
11. Juli 2022

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