 |
|
Chronic Meningococcemia in ChildhoodCase Report and Review of the Literature
Rudolph L. Leibel, MD;
John J. Fangman, MD, PhD;
Marvin C. Ostrovsky, MD
Am J Dis Child. 1974;127(1):94-98.
Abstract
Chronic meningococcemia occurred in a 2-year-old boy. As in adults, the clinical constellation in childhood include a prolonged period of variable rash, fever, and arthritis accompanied by surprisingly little systemic toxicity. Because of its rarity and nonspecific symptomatology, this entity is frequently mistaken for a wide range of other infectious diseases, vasculitides, and collagenoses. Thus, the positive blood culture remains the diagnostic sine qua non. Although the pathophysiology of this peculiar host-bacterial interaction has not been elucidated, it may prove fruitful to consider the clinical features as results of immune-complex deposition rather than direct bacterial invasion.
Author Affiliations
Cambridge, Mass; Minneapolis; Southboro, Mass
From the US Army Hospital, Fort Devens, Mass. Dr. Leibel is now with the Department of Pediatrics, Cambridge (Mass) Hospital; Dr. Fangman is now with the Family Practice Program, North Memorial Hospital, Minneapolis; and Dr. Ostrovsky is in private pediatric practice in Southboro, Mass.
Footnotes
Received for publication April 3, 1973; accepted Sept 11.
Reprint requests to Cambridge Hospital, Department of Pediatrics, 1493 Cambridge St, Cambridge, MA 02139 (Dr. Leibel).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Henoch-Schonlein Purpura Following a Meningococcal Vaccine
Pediatrics 2003;112:e491-491.
Meningococcal Sepsis With Endophthalmitis
Mason et al.
Arch Pediatr Adolesc Med 1979;133:1151-1152.
ABSTRACT
Isolated Acute Meningococcal Arthritis
Opitz
CLIN PEDIATR 1979;18:444-445.
ABSTRACT
|
