Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9\%) of 39 cases. Blood cultures were positive in 42 (79.3\%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2\% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80\%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62\%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances.
%0 Journal Article
%1 winstead_meningococcal_2000
%A Winstead, J M
%A McKinsey, D S
%A Tasker, S
%A Groote, M A De
%A Baddour, L M
%D 2000
%J Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
%K Age Agents, Bacterial, Distribution Distribution, Female, Humans, Infections, Male, Meningococcal Neisseria Pneumonia, Serotyping, Sex meningitidis, {Anti-Bacterial}
%N 1
%P 87--94
%R 10.1086/313617
%T Meningococcal pneumonia: characterization and review of cases seen over the past 25 years
%U http://www.ncbi.nlm.nih.gov/pubmed/10619738
%V 30
%X Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9\%) of 39 cases. Blood cultures were positive in 42 (79.3\%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2\% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80\%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62\%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances.
@article{winstead_meningococcal_2000,
abstract = {Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9\%) of 39 cases. Blood cultures were positive in 42 (79.3\%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2\% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80\%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62\%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances.},
added-at = {2011-03-11T10:05:34.000+0100},
author = {Winstead, J M and {McKinsey}, D S and Tasker, S and Groote, M A De and Baddour, L M},
biburl = {https://www.bibsonomy.org/bibtex/2fb93a4f9cbdcc887bcacd14cdb8ade1e/jelias},
doi = {10.1086/313617},
interhash = {1bdf4b892a277bdef3a2112e2847d55c},
intrahash = {fb93a4f9cbdcc887bcacd14cdb8ade1e},
issn = {1058-4838},
journal = {Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America},
keywords = {Age Agents, Bacterial, Distribution Distribution, Female, Humans, Infections, Male, Meningococcal Neisseria Pneumonia, Serotyping, Sex meningitidis, {Anti-Bacterial}},
month = jan,
note = {{PMID:} 10619738},
number = 1,
pages = {87--94},
shorttitle = {Meningococcal pneumonia},
timestamp = {2011-03-11T10:05:57.000+0100},
title = {Meningococcal pneumonia: characterization and review of cases seen over the past 25 years},
url = {http://www.ncbi.nlm.nih.gov/pubmed/10619738},
volume = 30,
year = 2000
}