Neisseria cinerea in a Post-splenectomy Patient: A Rare Potentially Fatal Bacteremia

Neisseria cinerea is a commensal which usually resides in the human respiratory tract. Very rarely, the organism finds its way into the bloodstream causing severe bacteremia. So far, very few cases of Neisseria bacteremia have been reported. We report a case of a 78-year-old male, post-splenectomy, ...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2018-07, Vol.10 (7), p.e3007
Main Authors: Patti, Ravikaran, Gupta, Sushilkumar S, Bhardwaj, Sharonlin, Jha, Prameeta, Ghatak, Arindam, Kupfer, Yizhak, Seneviratne, Chanaka
Format: Article
Language:English
Subjects:
Antibiotics
Case reports
Critical care
Gonorrhea
Infectious Disease
Internal Medicine
Maimonides (Moses ben Maimon) (1135-1204)
Meningitis
Morphology
Patients
Pneumonia
Sepsis
Streptococcus infections
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Summary:Neisseria cinerea is a commensal which usually resides in the human respiratory tract. Very rarely, the organism finds its way into the bloodstream causing severe bacteremia. So far, very few cases of Neisseria bacteremia have been reported. We report a case of a 78-year-old male, post-splenectomy, who presented with high fever, cough and shortness of breath. The patient was initially managed for septic shock with fluid resuscitations, vasopressors and broad-spectrum antibiotics. Later, the blood cultures grew gram-negative coccobacilli, Neisseria cinerea. The patient was successfully treated with intravenous ceftriaxone. This is the first case ever of Neisseria cinerea bacteremia in a post-splenectomy patient and ninth case overall. This case illustrates that the physicians should maintain heightened awareness for Neisseria cinerea bacteremia in post-splenectomy patients.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.3007