pneumonia with bacteremia without meningitis: An atypical presentation.

remains the most important cause of bacterial meningitis worldwide. The second most common and potentially severe end-organ manifestation of invasive meningococcal disease is meningococcal pneumonia. It occurs between 5 % and 15 % of all patients with invasive meningococcal disease. sepsis and meningitis continue to be associated with high morbidity and mortality, however, meningococcal pneumonia is uncommon and often underreported. We describe a case of sepsis secondary to pneumonia with bacteremia, without any evidence of meningitis. This case reports aims at highlighting pneumonia as a presentation of bacteremia, and the need for a high level of clinical suspicion to establish the diagnosis.