منابع مشابه
Meningococcemia
A 31-year-old woman without history of systemic diseases presented to the emergency department with spiking fever, chills, generalized myalgia, severe epigastralgia, and watery diarrhea for 1 day. Flulike symptoms had been noted for several days. Progressive extension of petechiae skin purpura (Fig. 1) developed within 2–3 h upon arrival at the hospital. Low blood pressure persisted despite vig...
متن کاملCorticosteroid-induced meningococcal meningitis in a patient with chronic meningococcemia.
IMPORTANCE Although chronic meningococcemia is an uncommon disorder, it is of great importance to clinicians across multiple disciplines because it presents similarly to reactive, neoplastic, or rheumatic disorders. Ruling out chronic meningococcemia, however, represents a diagnostic challenge because routine microbiological investigations frequently fail to identify Neisseria meningitidis. Alt...
متن کاملFatal meningococcemia
Within the past six years, a case of bothWaterhouse-Freidrichsen Syndrome and fulminant meningococcemia have presented to Union Memorial Hospital. Both cases presented in markedly different fashions, differed in microbiologic serogrouping, showed minimal histopathologic similarities; however achieved ultimately the same outcome through two different pathological pathways. The following case rep...
متن کاملPathogenesis of meningococcemia.
Neisseria meningitidis is responsible for two major diseases: cerebrospinal meningitis and/or septicemia. The latter can lead to a purpura fulminans, an often-fatal condition owing to the associated septic shock. These two clinical aspects of the meningococcal infection are consequences of a tight interaction of meningococci with host endothelial cells. This interaction, mediated by the type IV...
متن کاملFulminant meningococcemia
A 23 year old Caucasian woman was admitted to a local emergency room after awakening with “bruises” and “red spots” scattered over her body associated with fever and rigors and dizziness. Upon arrival, she had no measurable blood pressure and a temperature of 40.2 C. Petechiae and purpurae were noted primarily over her trunk and extremities. A CBC revealed WBC 2700/mm with a manual differential...
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ژورنال
عنوان ژورنال: IDCases
سال: 2019
ISSN: 2214-2509
DOI: 10.1016/j.idcr.2019.e00502