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Cerebrospinal fluid bacterial PCR was positive for <jats:italic>Neisseria meningitidis<\/jats:italic>. A concurrent nasopharyngeal RT-PCR was positive for SARS-CoV-2, the causative virus of COVID-19. She was treated with antibiotics for bacterial meningitis and made a complete recovery. Bacterial infection from nasopharyngeal organisms has followed previous pandemic viral upper respiratory illnesses and the risk of bacterial co-infection in COVID-19 remains unclear. Research characterising COVID-19 should specify the frequency, species and outcome of bacterial co-infection. Management of bacterial co-infection in COVID-19 presents major challenges for antimicrobial stewardship and clinical management. Judicious use of local antibiotic guidelines and early liaison with infection specialists is key.<\/jats:p>","DOI":"10.1136\/bcr-2020-237366","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T01:35:36Z","timestamp":1598405736000},"page":"e237366","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["Meningococcal meningitis and COVID-19 co-infection"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8859-6918","authenticated-orcid":false,"given":"Stuart Declan","family":"Gallacher","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Seaton","sequence":"additional","affiliation":[{"name":"Department of of Infectious Diseases, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"2025082712543481000_13.8.e237366.1","unstructured":"Lui Y , Gayle AA , et al . 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