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Case Reports in Infectious Diseases
Volume 2018, Article ID 2179097, 3 pages
https://doi.org/10.1155/2018/2179097
Case Report

Meningococcal Pneumonia in a Young Healthy Male

1Division of Medicine, Royal Darwin Hospital, Darwin, NT, Australia
2Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman

Correspondence should be addressed to Abdullah M. Al Alawi; moc.liamg@iwalalahalludba.rd

Received 6 February 2018; Revised 22 June 2018; Accepted 29 July 2018; Published 27 August 2018

Academic Editor: Oguz R. Sipahi

Copyright © 2018 Abdullah M. Al Alawi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 23-year-old male presented to the emergency department with one-day history of right-sided pleuritic chest pain, haemoptysis, and fever. In the emergency department, the blood pressure was 140/60 mmHg, heart rate 89/min, body temperature 40°C, respiratory rates 20 breaths/min, and oxygen saturation 98% in room air. Physical examination revealed rales and bronchial breathing in the right infrascapular region. Laboratory analysis showed raised white blood cell counts and elevated inflammation markers. Chest X-ray showed right lower lobe consolidation. Intravenous(IV) ceftriaxone and doxycycline were started for the management of community-acquired pneumonia as per the local guideline. Later, on admission, blood culture was positive for Neisseria meningitidis (N. meningitidis). Ceftriaxone was continued for 4 days, and the patient was discharged while being on oral amoxicillin (1 gm TDS) for another 3 days. He remained well during the outpatient follow-up.