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Anis H, Shaik AB, Berjaoui C, Karabulut E, Tiwari A, Nazir A, Hamitoglu AE, Uwishema O. Rising meningitis in USA and Mexico: insights from the fatal outbreak. Ann Med Surg (Lond) 2024; 86:279-283. [PMID: 38222676 PMCID: PMC10783312 DOI: 10.1097/ms9.0000000000001463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 10/21/2023] [Indexed: 01/16/2024] Open
Abstract
Meningitis, an inflammatory disease affecting the meningeal layers of the brain and the spinal cord, poses a significant public health concern globally. Most meningitis cases are caused by viral infections, bacterial infections being the second most common cause, while fungal or parasitic infections are deemed rare. Despite the decrease in bacterial meningitis because of vaccination and treatment, a recent meningitis outbreak in the United States and Mexico highlighted ongoing challenges. The current meningitis outbreak is caused by a pathogenic fungus and is associated with surgical procedures performed under spinal anaesthesia as reported by the Centers for Disease Control and Prevention (CDC) on the 11 May of 2023. Around 20 cases with clinical suspicion of meningitis, including two fatalities, have been attributed to this rampant outbreak. Timely diagnosis, utilising diagnostic modalities such as lumbar puncture and pathogen detection methods, is crucial for appropriate management. Iatrogenic meningitis must be avoided by enhancing surveillance, infection control procedures, and adherence to aseptic practices. To lessen the effects of meningitis and enhance patient outcomes, the WHO's roadmap and preventive interventions, such as targeted immunisations, are essential.
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Affiliation(s)
- Heeba Anis
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Deccan College of Medical Sciences, Hyderabad, Telangana
| | - Akbar Basha Shaik
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Deccan College of Medical Sciences, Hyderabad, Telangana
| | - Christin Berjaoui
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Beirut Arab University, Faculty of Medicine, Beirut, Lebanon
| | - Ece Karabulut
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Faculty of Medicine, Karadeniz Technical University, Trabzon
| | - Angad Tiwari
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
| | - Abubakar Nazir
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- King Edward Medical University, Lahore, Pakistan
| | - Ali Emir Hamitoglu
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Namik Kemal University, Faculty of Medicine, Tekirdag, Turkey
| | - Olivier Uwishema
- Oli Health Magazine Organization, Research, and Education, Kigali, Rwanda
- Faculty of Medicine, Karadeniz Technical University, Trabzon
- Clinton Global Initiative University, New York, NY
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Chacon-Cruz E, Lopatynsky EZ. Serogroup B Meningococcal Sepsis and Meningitis Associated With Meningococcal Acute Otitis Media, and Paranasal Sinusitis in an Infant: A Case Report. Cureus 2023; 15:e38430. [PMID: 37273326 PMCID: PMC10234028 DOI: 10.7759/cureus.38430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2023] [Indexed: 06/06/2023] Open
Abstract
Meningococcal disease (MD) is a potentially lethal condition. Typically, following infection, MD manifests with high fever, with signs and symptoms of severe septicemia with or without purpura, and in more than half of cases with meningitis. Acute otitis media (AOM) caused by Neisseria meningitidis has scarcely been reported, mostly without severe MD, and there are no reports of meningococcal paranasal sinusitis (PS). We present the case of a previously healthy 11-month-old infant who started with fever and cough and further developed intense irritability and right spontaneous purulent otorrhea, with subsequent increased fever and seizures. Blood, cerebrospinal, and middle ear fluid cultures were positive for N. meningitidis serogroup B, and a CT scan showed both maxillary and ethmoidal sinusitis. Intravenous ceftriaxone was administered for eight days, and three months following discharge, no sequelae were identified. This is the first report of a patient with MD associated with sepsis, meningitis, AOM, and PS.
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Affiliation(s)
- Enrique Chacon-Cruz
- Pediatric Infectious Diseases, Hospital General de Tijuana, Tijuana, MEX
- Vaccines and Infectious Diseases, Think Vaccines LLC, Houston, USA
| | - Erika Z Lopatynsky
- Family Medicine and Public Health, University of California San Diego, San Diego, USA
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