A 32-year-old male presented with two episodes of meningococcal septic
aemia, each of which was caused by a different serogroup of Neisseria
meningitidis. Examination of the alternative pathway of complement rev
ealed the rare X-linked disorder properdin deficiency (PD). Meningococ
cal infection in complement deficiency states is discussed and the unu
sual features of this case are highlighted.