• M Roux, S Sire, V Lalande, A Le Coustumier, K-P Tiev, C Tolédano, L Josselin-Mahr, M Gain, J Cabane, and A Kettaneh.
• Service de médecine interne, hôpital Saint-Antoine, Assistance publique-Hôpitaux de Paris, université Pierre-et-Marie-Curie-Paris, 184, rue du Faubourg-Saint-Antoine, 75012 Paris cedex, France.
• Rev Med Interne. 2010 Jun 1; 31 (6): 445-8.

IntroductionChronic meningococcemia is an unusual clinical presentation within the spectrum of infections due to Neisseria meningitidis.Case ReportWe report a 32-year-old man who presented with a 15-day history of fever and maculopapular skin rash, in the absence of meningeal irritation or severe sepsis manifestation. Blood culture identified N. meningitidis. Clinical course was uneventful after antibiotic treatment was initiated.ConclusionEarly diagnosis of chronic meningococcemia is crucial for optimal management of the patient and his/her contacts. Such a diagnosis should be suspected in the presence of the characteristic clinical triad (recurrent fever, skin rash and arthralgia), and this clinical presentation should be distinguished from systemic vasculitis as inadequate prescription of corticosteroids may be deleterious.Copyright 2010 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

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