title: Self Mutilating Behaviour in Severe Meningococcal Infection; An Interesting Association.
abstract: Neisseria meningitidis most commonly manifests as asymptomatic colonization in the nasopharynx of healthy adolescents and adults. It may rarely present as invasive disease which may be either bacterial meningitis or meningococcal septicaemia. Hereby we report a case presented with fever and rashes, irritability followed by self mutilating behaviour who was diagnosed as a case of invasive meningococcal infection. He responded well to treatment with intravenous ceftriaxone and self mutilating behaviour was subsided completely after treatment. Necrosed tissues of fingers were amputated. With best of our knowledge, no similar case of self-mutilation associated with meningococcal infection has been reported yet.
authors.affiliation: Assistant Professor, Department of Microbiology, Institute of Medical Science , BHU, Varanasi, Uttar Pradesh, India .
authors.forename: Anju
authors.initials: A
authors.lastname: Dinkar
authors.affiliation: Senior Resident, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Jitendra
authors.initials: J
authors.lastname: Singh
authors.affiliation: Professor, Department of Medicine, King George Medical University , Lucknow, India, Uttar Pradesh, India .
authors.forename: Virendra
authors.initials: V
authors.lastname: Atam
authors.affiliation: Senior Resident, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Krishna Kumar
authors.initials: KK
authors.lastname: Sahani
authors.affiliation: Assistant Professor, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Munna Lal
authors.initials: ML
authors.lastname: Patel
keywords: Bacterial meningitis; Ceftriaxone; Self mutilation