Infected Branchial Cleft Cyst Due to Neisseria Meningitidis: An Unusual Presentation in a Pediatric Case
Abstract
Meningococcal disease, which is caused by Neisseria meningitidis (N. meningitidis), may present clinically as meningococcemia, as meningitis, or with a mixed picture. A 3-year-old girl was admitted to our hospital with a tender, immobile, hard, hot and erythematous mass measuring 3x4 cm on the left anterior part of the neck. The patient was diagnosed with branchial cleft cyst in the left side of the neck and regularly followed by an otolaryngologist since 6-month-old. The abscess culture grew N. meningitidis. Serogroup determination identified nongroupable Neisseria meningitidis. Infected branchial cleft cyst associated with N. meningitidis has rarely been reported, and to our knowledge, this is the second case in the literature. This demonstrates the importance of microbiologic identification, which plays a major role in the management of the patient. It should be noted that N.meningitidis can present with unusual clinical manifestations affecting all systems of the body; which indicates the importance of vaccination in vaccine-preventable diseases.
References
- 1. Odegaard A. Unusual manifestations of meningococcal infection. A review. NIPH annals. 1983;6(1):59-63.
- 2. Meningococcal infections. In: Kimberlin DW BM, Jackson MA, Long SS, editor. Red Book: 2018 report of the Committee on Infectious Diseases. 31st ed. ed. Elk Grove Village: American Academy of Pediatrics.; 2018. p. 550-61.
- 3. Hart CA, Thomson AP. Meningococcal disease and its management in children. Bmj. 2006;333(7570):685-90.
- 4. Ferson MJ, Shi E. Periorbital cellulitis with meningococcal bacteremia. The Pediatric infectious disease journal. 1988;7(8):600.
- 5. Chand DV, Hoyen CK, Leonard EG, McComsey GA. First reported case of Neisseria meningitidis periorbital cellulitis associated with meningitis. Pediatrics. 2005;116(6):e874-e5.
- 6. Patrick CC, Furuta GT, Edwards M, Estabrook M, Blake MS, Baker CJ. Variation in phenotypic expression of the Opa outer membrane protein and lipooligosaccharide of Neisseria meningitidis serogroup C causing periorbital cellulitis and bacteremia. Clinical infectious diseases. 1993;16(4):523-7.
- 7. Jacinto T, Rego H, Gonçalves J, Ferreira VP. Primary meningococcal septic arthritis in a two month old infant. Acta medica portuguesa. 2015;28(1):117-9.
- 8. Gupta S, Rudolph G. Cardiac tamponade as a delayed presentation of Neisseria meningitidis infection in a 5-month-old infant. Pediatric emergency care. 2007;22(3):163-5.
- 9. Newton DA, Wilson WG. Primary meningococcal conjunctivitis. Pediatrics. 1977;60(1):104-6.
- 10. Porras MC, Martínez VC, Ruiz IM, et al. Acute cellulitis: an unusual manifestation of meningococcal disease. Scandinavian journal of infectious diseases. 2001;33(1):56-9.
Neisseria Meningitidis'e Bağlı Enfekte Brankial Yarık Kisti: Bir Pediatrik Olguda Olağandışı Bir Sunum
Abstract
Neisseria meningitidis'in (N. meningitidis) neden olduğu meningokok hastalığı klinik olarak meningokoksemi, menenjit veya karışık bir tablo ile kendini gösterebilir. Boynun sol ön kısmında 3x4 cm boyutlarında hassas, hareketsiz, sert, sıcak ve eritemli kitlesi olan 3 yaşında kız çocuğu hastanemize başvurdu. Boynun sol tarafında brankial yarık kisti tanısı alan hasta 6 aylıktan beri düzenli olarak kulak burun boğaz uzmanı tarafından takip edilmekteydi. Apse kültüründe N. meningitidis üredi. Serogrup tayinininde, gruplandırılamayan Neisseria meningitidis olarak tanımlandı. N. meningitidis ile ilişkili enfekte brankial yarık kisti nadiren bildirilmiştir ve bilgilerimize göre bu literatürdeki ikinci olgudur. Bu, hastanın yönetiminde mikrobiyolojik tanımlamanın önemli bir rol oynadığını göstermektedir. N.meningitidis'in vücudun tüm sistemlerini etkileyen olağandışı klinik bulgularla ortaya çıkabileceği ve bunun da aşı ile önlenebilir hastalıklarda aşılamanın önemine işaret ettiği unutulmamalıdır.
References
- 1. Odegaard A. Unusual manifestations of meningococcal infection. A review. NIPH annals. 1983;6(1):59-63.
- 2. Meningococcal infections. In: Kimberlin DW BM, Jackson MA, Long SS, editor. Red Book: 2018 report of the Committee on Infectious Diseases. 31st ed. ed. Elk Grove Village: American Academy of Pediatrics.; 2018. p. 550-61.
- 3. Hart CA, Thomson AP. Meningococcal disease and its management in children. Bmj. 2006;333(7570):685-90.
- 4. Ferson MJ, Shi E. Periorbital cellulitis with meningococcal bacteremia. The Pediatric infectious disease journal. 1988;7(8):600.
- 5. Chand DV, Hoyen CK, Leonard EG, McComsey GA. First reported case of Neisseria meningitidis periorbital cellulitis associated with meningitis. Pediatrics. 2005;116(6):e874-e5.
- 6. Patrick CC, Furuta GT, Edwards M, Estabrook M, Blake MS, Baker CJ. Variation in phenotypic expression of the Opa outer membrane protein and lipooligosaccharide of Neisseria meningitidis serogroup C causing periorbital cellulitis and bacteremia. Clinical infectious diseases. 1993;16(4):523-7.
- 7. Jacinto T, Rego H, Gonçalves J, Ferreira VP. Primary meningococcal septic arthritis in a two month old infant. Acta medica portuguesa. 2015;28(1):117-9.
- 8. Gupta S, Rudolph G. Cardiac tamponade as a delayed presentation of Neisseria meningitidis infection in a 5-month-old infant. Pediatric emergency care. 2007;22(3):163-5.
- 9. Newton DA, Wilson WG. Primary meningococcal conjunctivitis. Pediatrics. 1977;60(1):104-6.
- 10. Porras MC, Martínez VC, Ruiz IM, et al. Acute cellulitis: an unusual manifestation of meningococcal disease. Scandinavian journal of infectious diseases. 2001;33(1):56-9.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Early Pub Date | September 15, 2021 |
| Publication Date | December 31, 2021 |
| Acceptance Date | October 5, 2021 |
| Published in Issue | Year 2021 Volume: 9 Issue: 3 |
