https://doi.org/10.4081/pjm.2020.81

A case report of bilateral uveitis with meningococcal septicaemia resulting to blindness and adjustment disorder

Vol. 3 No. 2 (2020)
Submitted: 27 April 2020
Accepted: 13 September 2020
Published: 23 February 2021
Meningococcal septicaemia, uveitis, blindness, adjustment disorder
Abstract Views: 231
PDF: 174
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Zaharaddeen Garba Habib
https://orcid.org/0000-0001-7423-3980
Department of Psychiatry, Aminu Kano Teaching Hospital and Bayero University Kano, Nigeria.
Saudat Garba Habib
garbasaudat7@gmail.com
Department of Ophthalmology, Aminu Kano Teaching Hospital and Bayero University Kano, Nigeria.
Safiya Gambo
Department of Paediatrics, Murtala Muhammad Specialist Hospital, Kano, Nigeria.
Sadiq Hassan
https://orcid.org/0000-0003-2982-783X
Department of Ophthalmology, Aminu Kano Teaching Hospital and Bayero University Kano, Nigeria.
Jamila Sani
Department of Paediatrics, Murtala Muhammad Specialist Hospital, Kano, Nigeria.

To report the rare case of a patient with bilateral uveitis with meningococcal septicaemia from Neisseria meningitides, resulting to blindness and adjustment disorder. A 9-years-old boy presented to the Emergency paediatric unit of a hospital with complaints of fever, and neck stiffness of one week duration. There was associated sudden decreased vision, pain and photophobia of both eyes. Neck was stiff and retracted with positive Kernig’s and Brudzinski’s signs. Neisseria meningitidis was isolated from both the turbid CSF and the blood. Visual Acuity (VA) was Perception of Light (PL) and Counting Finger (CF) in right and left eyes (RE and LE) respectively, with 360 degrees posterior synechiae and pupillary membrane. Diagnosis of meningococcal septicaemia with bilateral uveitis was made. Patient was treated with IV ceftriaxone, sub-conjunctival dexamethasone, dexamethasone, atropine and moxifloxacin eye drops and other supporting medications. Although he showed improvement of VA to RE-6/36, LE- 6/24, he absconded from follow- up and later relapsed with subsequent blindness (VA of Perception of Light in Both eyes) and symptoms of adjustment disorder. Although ocular involvement is rare in meningococcal septicaemia, patients should always have detailed ophthalmological examination as prompt diagnosis and management could improve the visual outcome.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
World Health Organisation Multi Disease Surveillance Center (MDSC), WHO/African region. Meningitis Weekly Bulletin.
Iliyasu G, Lawal H, Habib AG, et al. Response to the Meningococcal Meningitis Epidemic (MME) at Aminu Kano Teaching Hospital, Kano (2008-2009). Nig J Med 2009;4:428-30.
WHO/PATH Meningitis Vaccine Project. Press release: dramatic fall in cases of meningitis A in three West African nations after new vaccine introduction. Health Aff 2011;30:1049-57.
Kristiansen PA, Diomandé F, Ba AK, et al. Impact of the serogroup A meningococcal conjugate vaccine, MenAfriVac, on carriage and herd immunity. Clin Infect Dis 2013;56:354–63. DOI: https://doi.org/10.1093/cid/cis892
Daugla DM, Gami JP, Gamougam K, et al. Effect of a serogroup A meningococcal conjugate vaccine (PsA-TT) on serogroup A meningococcal meningitis and carriage in Chad: a community trial. Lancet 2013;383:40–7. DOI: https://doi.org/10.1016/S0140-6736(13)61612-8
Shah V, Garg A, Stanford M. Endogenous Meningococcal Endophthalmitis with Isolated Joint Involvement in Immunocompetent Adults. Ocular Immunol and Inflamm 2018;26:523-6.
Balaskas K, Potamitou D. Endogenous endophthalmitis secondary to bacterial meningitis from Neisseria Meningitidis: a case report and review of the literature. Cases J 2009;2:149. DOI: https://doi.org/10.1186/1757-1626-2-149
Ness T. Endogenous endophthalmitis. Ophthalmologe 2007;104:935-9. DOI: https://doi.org/10.1007/s00347-007-1650-6
ICD 11- Mortality and Morbidity Statistics. Retrieved on 2019-08-28. Available from: https://icd.who.int/browse11/l-m/en
Shuttleworth FN, Benstead JG. Primary Meningococcal Ophthalmia. BMJ 1947;2:568-9. DOI: https://doi.org/10.1136/bmj.2.4527.568
Faye A, Mariani-Kurkjian P, Taha MK, et al. Clinical aspects and outcome of meningo-coccal disease due to Neisseria meningitides of serogroupW135 in 5 children. Archives de pédiatrie: Organe official delaSociétéfrançaise de pédiatrie. Arch Pediatr 2005;12:291–4. DOI: https://doi.org/10.1016/j.arcped.2004.11.018
Mohammad I, Garba I, Abdulrazaq GH. Emergence and control of epidermic meningococcal meningitis in Subsaharan Africa. Pathog Glob Health 2017;111:1-6. DOI: https://doi.org/10.1080/20477724.2016.1274068
Tunde-Ayinmode MF, Akande TM, Ademola-Popoola DS. Psychological and Social adjustment to blindness: Understanding from two groups of blind people in Ilorin, Nigeria. Ann Afr Med 2011;10:155-64. DOI: https://doi.org/10.4103/1596-3519.82073
Tuttle D, Tuttle NR. Self-esteem and Adjusting with blindness: The process of responding to Life’s demands. 3rd Edition. Spring field, IL: Charles C. Thomas; 2004.

How to Cite

Habib, Zaharaddeen Garba, Saudat Garba Habib, Safiya Gambo, Sadiq Hassan, and Jamila Sani. 2021. “A Case Report of Bilateral Uveitis With Meningococcal Septicaemia Resulting to Blindness and Adjustment Disorder”. Pyramid Journal of Medicine 3 (2). https://doi.org/10.4081/pjm.2020.81.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.