Jones E M, Brown N M, Harvey J E, Reeves D S, MacGowan A P
Department of Medical Microbiology, Southmead Health Services NHS Trust, Westbury-on-Trym, Bristol, UK.
Thorax. 1997 Oct;52(10):927-9; discussion 926-7. doi: 10.1136/thx.52.10.927.
Three cases of pneumonia due to Neisseria meningitidis are described. In all three cases the organism was isolated only from blood cultures, but in the presence of good clinical and radiological evidence of pneumonia. The isolates belonged to three different serogroups: B type 2b, C, and Y. The cases illustrate the fact that N meningitidis can cause pneumonia and that culture of blood plays an important part in the diagnosis. Clinically there is nothing to differentiate meningococcal pneumonia from other causes of community acquired pneumonia. Predisposing factors include aspiration, immunosuppression, influenza, and adenovirus infections. When diagnosed, pneumonia due to N meningitidis should be notified and prophylaxis given as for meningitis or septicaemia.
本文描述了3例由脑膜炎奈瑟菌引起的肺炎病例。在所有3例病例中，仅从血培养中分离出该病原体，但同时存在良好的肺炎临床和影像学证据。分离株属于三个不同的血清群：B型2b、C和Y。这些病例表明，脑膜炎奈瑟菌可引起肺炎，血培养在诊断中起着重要作用。临床上，脑膜炎球菌性肺炎与社区获得性肺炎的其他病因并无区别。易感因素包括误吸、免疫抑制、流感和腺病毒感染。确诊后，脑膜炎奈瑟菌引起的肺炎应按脑膜炎或败血症进行报告并给予预防措施。
