Ozaki Brent, Kittai Adam, Chang Suzanne
The George Washington University, Washington, DC, USA.
BMJ Case Rep. 2014 Mar 13;2014:bcr2014203774. doi: 10.1136/bcr-2014-203774.
A 68-year-old man presented with facial cellulitis and found to have Neisseria meningitidis bacteraemia with no evidence of infection outside of the facial soft tissue. He was treated with a course of intravenous ceftriaxone and transitioned to oral amoxicillin on discharge with significant improvement of his symptoms. N meningitidis is best recognised as a causal agent of bacterial meningitis. To our knowledge N meningitidis cellulitis has only been described in 12 other cases. In this case series we describe and summarise our case, along with the 12 cases already reported in the literature. We report this case series to highlight the importance of recognising N meningitidis in the differential in patients presenting with acute skin and soft tissue infections especially involving the periorbital, head and neck regions.
一名68岁男性因面部蜂窝织炎就诊，被发现患有脑膜炎奈瑟菌血症，面部软组织以外无感染迹象。他接受了一个疗程的静脉注射头孢曲松治疗，并在出院时改用口服阿莫西林，症状有明显改善。脑膜炎奈瑟菌最广为人知的是细菌性脑膜炎的病原体。据我们所知，脑膜炎奈瑟菌蜂窝织炎仅在其他12例病例中被描述过。在本病例系列中，我们描述并总结了我们的病例以及文献中已报道的12例病例。我们报告这个病例系列是为了强调在鉴别诊断急性皮肤和软组织感染（尤其是累及眶周、头部和颈部区域）的患者时识别脑膜炎奈瑟菌的重要性。
