Abstract
In March 2017, a patient with necrotising fasciitis caused by Neisseria meningitidis serogroup W (MenW) clonal complex 11 was diagnosed in the Netherlands. Unusual and severe presentations of MenW infections are common in the current European epidemic. In the Netherlands, the incidence of MenW infections increased 10-fold, from an average of 0.03 per 100,000 population in 2002–2014 to 0.29 in 2016. Awareness of atypical presentations enables timely adequate treatment and public health action.
Highlights
In March 2017, a man in his early 60ies consulted his general practitioner (GP) because of a painful, red and swollen ankle since 1 day
Necrotising fasciitis can be caused by various bacterial pathogens, but in monomicrobial infections, haemolytic Streptococci group A are most commonly identified as the cause [8]
N. meningitidis as the causative agent in necrotising fasciitis is extremely rare [9], there are some reports on severe cellulitis being caused by N. meningitidis [10,11]
Summary
Necrotising fasciitis as atypical presentation of infection with emerging Neisseria meningitidis serogroup W (MenW) clonal complex 11, the Netherlands, March 2017. A Russcher 1 , E Fanoy 2 3 , GDJ van Olden 4 , AD Graafland 5 , A van der Ende 6 , MJ Knol 3 1. Citation style for this article: Russcher A, Fanoy E, van Olden GDJ, Graafland AD, van der Ende A, Knol MJ. Awareness of atypical presentations enables timely adequate treatment and public health action
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