See CNS Infections in the Syndrome section.
Prophylaxis (with Hospital Epidemiology input)
Ciprofloxacin
Rifampin
Normal flora - humans are the reservoir.
Quadrivalent vaccine prevents disease by serogroups A/C/W-135/Y.
Occurs in outbreaks particularly in crowded setting.
Colonizer and cause of invasive disease:
Meningitis
Meningococcemia
Rarely pneumonia
Septic arthritis
Pericarditis
Conjunctivitis
Others
Generally of little significance when cultured from nonsterile sites i.e. genital, pharynx.
Invasive meningococcal disease is notifiable - call Public Health ASAP
Droplet precautions until 24hrs of appropriate antimicrobial therapy
Prophylaxis may be required for close contacts and healthcare workers; contact Clinical Epidemiology