1/25. abdominal pain as an atypical presentation of meningococcaemia.An atypical presentation of meningococcaemia without purpura poses diagnostic problems. The importance of the identification of shock manifest as delayed capillary refill in two children with meningococcal septicaemia presenting with fever and abdominal pain is discussed. abdominal pain is an unusual presentation of meningococcal disease.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
2/25. neisseria meningitidis native valve endocarditis. A case report.The so-called nonpathogenic neisseriae are common inhabitants of the upper respiratory tract in humans and are not usually regarded as pathogens. Neisseria meningitidis on the contrary may cause severe disease. These organisms are an uncommon cause of infective endocarditis. The authors report a case of a 64 year-old male, type II diabetic, previously asymptomatic, admitted to hospital because of fever, aphasia and right hemi-paresis. A systolic murmur was heard at the cardiac apex, and three blood cultures were positive for neisseria meningitidis. The echocardiogram showed a vegetation on the posterior leaflet of the mitral valve, allowing the diagnosis of meningococcal endocarditis. The patient's clinical condition improved on intravenous penicillin therapy, and regression of fever, disappearance of the neurological signs and of the mitral valve vegetation were observed.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
3/25. Meningococcemia following tonsillectomy.A 22-y-old male developed fever, arthralgias and skin rash 2 d after tonsillectomy. blood culture grew neisseria meningitidis. He responded well to antibiotics. Only 1 other case of meningococcal sepsis following adenotonsillectomy has previously been reported. These cases suggest a temporal association of meningococcemia with tonsillectomy.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
4/25. Red eyes as the initial presentation of systemic meningococcal infection.The present paper is a report of a 14-month-old boy who presented with fever, coryzal symptoms and red eyes. The patient developed a generalized tonic clonic convulsion on day 2 of his illness. Ophthalmological assessment demonstrated bilateral hypopyon and vitreous opacity resulting from endophthalmitis. cerebrospinal fluid was positive for neisseria meningitidis (A, C, Y, W 135) by latex agglutination. He was treated with high dose intravenous cefotaxime and intravitreal ceftazidime. He made good recovery and his vision was preserved. In view of the potential morbidity and mortality associated with systemic meningococcal infection, the presence of red eye and hypopyon provides important diagnostic clues indicating the need to investigate beyond superficial conjunctivitis. It should prompt the clinician to recognize endopthalmitis early and accurately diagnose this serious disease.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
5/25. Chronic meningococcaemia.Chronic meningococcaemia is a rare disorder. A patient was admitted to hospital with intermittent fever and arthralgia of a migratory nature for 1 week. Maculopapular lesions were present. His temperature was 38.5 degrees C. Physical examination revealed a patient without any signs of severe illness. blood cultures grew Neisseria meningitides.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
6/25. Infective endocarditis due to neisseria meningitidis: two case reports.Two cases of meningococcal endocarditis are described. An 84-year-old man developed sepsis and septic shock and died 15 h after admission to the department. The autopsy revealed aortic endocarditis. blood and vegetation culture yielded neisseria meningitidis B:16:P1.5. A 37-year-old man was admitted for fever and rash lasting several weeks. endocarditis of the bicuspid aortic valve caused by N. meningitidis C:2a:P1.2,5 was found. The patient was successfully treated with penicillin g for 4 weeks. Brief epidemiologic characteristics of invasive meningococcal disease in the czech republic are given.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
7/25. Infantile Henoch-Schonlein purpura.We present an infant with generalized palpable purpura, arthritis and fever, whose findings were atypical for classic childhood Henoch-Schonlein purpura (HSP). By describing the clinical symptoms and prognostic differences seen in infants versus school age children, we encourage physicians to be aware of infantile HSP in their differential diagnosis when they encounter a non-toxic infant with generalized purpura.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
8/25. An uncommon presentation: chronic meningococcaemia associated with cholestatic hepatitis in a Turkish child.Chronic meningococcaemia is a very rare clinical manifestation of invasive infection by neisseria meningitidis. A 9-year-old girl was admitted to our clinic with complaints of fever, headache, arthralgia, and maculopapular rash. The diagnosis was made by the growth of neisseria meningitidis in the blood cultures. Four days after admission, liver function tests were increased and were compatible with cholestatic hepatitis. Thereafter, the patient was successfully treated and symptoms were completely resolved. To our knowledge, there have been no previous reports of neisseria meningitidis causing cholestatic hepatitis. Herein, we present an unusual child patient with chronic meningococcaemia associated with cholestatic hepatitis.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
9/25. Chronic meningococcal disease.Chronic meningococcal septicaemia is an unusual and infrequently recognised presentation of disease caused by neisseria meningitidis. Clinical features are immunologically mediated and include fever, rash and arthritis, which may mimic cutaneous vasculitis or reactive gonococcal arthritis. diagnosis is difficult to confirm as blood cultures commonly do not grow the organism despite weeks of symptoms. culture of the organism from the nasopharynx may provide supportive evidence for diagnosis. Chronic meningococcaemia should be considered in the differential diagnosis of a cutaneous vasculitis. In the clinical setting of an undiagnosed fever with vasculitic rash and joint symptoms an empirical trial of intravenously administered penicillin should be considered before steroid therapy as a rapid response may simplify the diagnostic dilemma.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
10/25. Chronic meningococcemia.A case is reported of a 70-year-old woman with chronic meningococcemia. She had intermittent fever, purpuric papules disseminated on the trunk and limbs, headache, arthralgia and myalgia for 5 weeks. Treatment with ceftriaxone was rapidly successful.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
| | Next -> |