Abstract • Pneumonia apparently resulting from aspiration became clinically apparent in an elderly man two days after admission to a private room on a general medical ward. Pneumonia developed in a patient in an adjacent room three days later. Both patients had group B Neisseria meningitidis isolated from a percutaneous transtracheal aspirate. A prevalence survey failed to identify meningococcal carriers among other ward patients. The index patient required frequent nasotracheal suctioning during the first two hospital days prior to penicillin G potassium therapy. The second patient was simultaneously receiving continuous oxygen therapy administered by nasal cannula. Events suggested that the organism may have been transmitted by direct contact, probably on the hands of hospital personnel. (Arch Intern Med 1981;141:575-577) References 1. Irwin RS, Woelk WK, Coudon WL: Primary meningococcal pneumonia. Ann Intern Med 1975;82:493-498.Crossref 2. Koppes GM, Ellenbogen C, Gebhart RJ: Group Y meningococcal disease in United States Air Force recruits. Am J Med 1977;62:661-666.Crossref 3. Galpin JE, Chow AW, Yoshikawa TT, et al: Meningococcal pneumonia. Am J Med Sci 1975;269:247-250.Crossref 4. Hersh JH, Gold R, Lepow ML: Meningococcal group Y pneumonia in an adolescent female. Pediatrics 1979;64:222-224. 5. Craven DE, Frasch CE, Robbins JB, et al: Subgroup identification of Neisseria meningitidis: Comparison of an antiserum agar method with bacterial slide agglutination. J Clin Microbiol 1978;7:410-414. 6. Frasch CE: Noncapsular surface antigens of Neisseria meningitidis , in Weinstein L, Fields BN (eds): Seminars in Infectious Diseases. New York, Stratton Intercontinental Medical Book Corp, 1979, vol 2, pp 304-337. 7. Smilack JD: Group Y meningococcal disease: Twelve cases of an army training center. Ann Intern Med 1974;81:740-745.Crossref 8. Cohen MS, Steere AC, Baltimore R, et al: Possible nosocomial transmission of group Y Neisseria meningitidis among oncology patients. Ann Intern Med 1979;91:7-12.Crossref 9. Putsch RW, Hamilton JD, Wolinsky E: Neisseria meningitidis: A respiratory pathogen? J Infect Dis 1970;121:48-54.Crossref 10. Hoeprich PD: Prediction of antimeningococci chemoprophylactic efficacy. J Infect Dis 1971;123:125-133.Crossref 11. Rose HD: Mechanical control of hospital ventilation and Aspergillus infections. Am Rev Respir Dis 1972;105:306-307. 12. Rose HD, Varkey B: Deep mycotic infection in the hospitalized adult: A study of 123 patients. Medicine 1975;54:499-507.Crossref 13. Rose HD, Hirsch SR: Filtering hospital air decreases Aspergillus spore counts. Am Rev Respir Dis 1979;119:511-513.
Archives of Internal Medicine – American Medical Association
Published: Apr 1, 1981