Notes from the Field: Response to Serogroup B Meningococcal Disease Among Military Trainees - Texas, April 2021
Abstract
On April 4, 2021, a 21 year old military special warfare trainee who was in the pre-dive school component of training presented to sick call with headache, neck stiffness, myalgia, vomiting, and purpura on his trunk, extremities, and his soft palate. He had a lumbar puncture performed with aneutrophilic pleocytosis (5,348 WBC/microliter, 85% polymorphonuclear leukocytes), hypoglycorrhachia (<2 mg/dL), elevated protein (312 mg/dL), Gram stain with gram-negative diplococci, and a polymerasechain reaction positivity for Neisseria meningitidis. He was isolated from his training unit and started on intravenous ceftriaxone. The patients sample from his spinal fluid grew N. meningitidis which whole genome sequencing classified as serogroup B. The patient was treated with intravenous ceftriaxone and returned to training after completion of therapy.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 01, 2021
- Accession Number
- AD1163745
Entities
People
- Alexander P. Iv Keller
- Amanda E. Huston
- Courtney N. Hintz
- Cynthia S. Sikorski
- Dianne N. Frankel
- John L. Kiley
- John W. Kieffer
- Joseph E. Marcus
- Matthew J. Dolan
- Michael T. Smolka
- Theresa M. Casey
- William N. V Bennett
Organizations
- 59th Medical Wing