case_images: PMC10580757_01
case_images: Laboratory features and treatments during the follow up. IVIG, intravenous immunoglobulin; Hb, hemoglobin; PLT, platelets; LDH, lactate dehydrogenase; BIL TOT, total bilirubin.
case_images: fimmu-14-1269325-g001.jpg
case_images: PMC10580757_01_fimmu-14-1269325-g001.jpg
case_images: f1
case_images: LDH increase was noted, accompanied by mild unconjugated hyperbilirubinemia and progressive decrease of Hb values ( Figure 1 ). Last ravulizumab infusion dated 4 weeks back (February 2023).
case_images: Blood cultures and biochemical tests for Neisseria meningitidis. (A, B) blood culture medium broth and colture smear by Gram staining 100x; (C) Chocolate-agar culture plate; (D) Blood-Agar culture plate; (E) biochemical identification gallery api NH.
case_images: fimmu-14-1269325-g002.jpg
case_images: PMC10580757_01_fimmu-14-1269325-g002.jpg
case_images: f2
case_images: Neisseria meningitidis capsular antigens were negative. Notably, bacteria grew on chocolate-agar ( Figure 2C ) and blood-agar plates ( Figure 2D ). Identification by MALDI-TOF mass spectrometry Vitek MS was performed and subsequentl biochemical gallery api NH Bio Merieux confirmed the diagnosis of N. meningitidis ( Figure 2E ).
case_images: PMC10580757_02