Necrotising fasciitis as atypical presentation of infection with emerging Neisseria meningitidis serogroup W (MenW) clonal complex 11, the Netherlands, March 2017

Author:

Russcher Anne1,Fanoy Ewout23,van Olden Ger D J4,Graafland Antonie D5,van der Ende Arie6,Knol Mirjam J3

Affiliation:

1. Department of Medical Microbiology, Meander Medical Centre, Amersfoort, the Netherlands

2. Public Health Service Region Utrecht, Zeist, the Netherlands

3. Centre for Infectious Diseases Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands

4. Department of Surgery, Meander Medical Centre, Amersfoort, the Netherlands

5. Department of Intensive Care, Meander Medical Centre, Amersfoort, the Netherlands

6. Department of Medical Microbiology and the Netherlands Reference Laboratory for Bacterial Meningitis, Academic Medical Center, Amsterdam, the Netherlands

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.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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