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.

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