title: Meningitis with Digital Gangrene in Meningococcal Infection: An Atypical Presentation.
abstract: Meningococcal infection is an important public health concern.Neisseria meningitidisusually colonizes the nasopharynx of healthy adolescents and adults and remains as asymptomatic colonizer, while in rare cases it may present as invasive disease as either meningitis or septicemia or both. Most of the cases have typical presentation of rashes. We hereby present a case of a 40-year-old male who presented with meningococcal meningitis and peripheral digital gangrene but without development of typical rashes. He improved by early institution of appropriate intravenous antibiotics with supportive care.
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: Associate Professor, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Dandu
authors.initials: D
authors.lastname: Himanshu
authors.affiliation: Senior Resident, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Ranjit Kumar
authors.initials: RK
authors.lastname: Nim
authors.affiliation: Assistant Professor, Department of Microbiology, IMS, BHU , Varanasi, Uttar Pradesh, India .
authors.forename: Anju
authors.initials: A
authors.lastname: Dinkar
authors.affiliation: Associate Professor, Department of Medicine, King George Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Kamlesh Kumar
authors.initials: KK
authors.lastname: Gupta
keywords: Bacterial meningitis; Digital gangrene; Rashless presentation; Septicemia