Neisseria meningitidis infection is generally considered a disease of
children or young adults, classically presenting as meningitis or sepi
caemia. This infection is rare but recognised in the elderly We presen
t the case of a nonogenarian with meningococcal pneumonia and sinusiti
s with bacteraemia caused by N. meningitidis W135 a rare serogroup. We
therefore thought this unusual situation of interest and worthwhile r
eporting.