We deal with the second reported case of chronic meningococcaemia in which the culture of skin biopsy led to the diagnosis. A 46-year-old man presented a history of recurrent fever and rash. Laboratory studies revealed an inflammatory syndrome. Serologic tests as well as blood culture tests were negative. The histological examination of skin lesions revealed a perivascular infiltrate in the dermis without any picture of leukocytoclastic vasculitis. A culture of skin specimen tested positive for Neisseria meningitidis (N. meningitidis). After a week of antibiotic treatment, the patient recovered with no recurrence of either fever or rash over a two year period.