• Ned Tijdschr Geneeskd · Jan 2015

    Case Reports

    [Fever with a rash caused by chronic meningococcemia].

    • Jeroen Christiaan de Jonge, Klaas Koop, Mente Bousema, and Roos Nuboer.
    • Afd. Kindergeneeskunde: J.C. de Jonge, coassistent kindergeneeskunde; dr. K. Koop, aios kindergeneeskunde; drs. R. Nuboer, kinderarts.
    • Ned Tijdschr Geneeskd. 2015 Jan 1;159:A8103.

    BackgroundFever with a rash is a common clinical presentation, which can be caused by various medical conditions.Case DescriptionA 14-year old boy presented at the outpatient clinic with a two-week history of fever, myalgia and purpuric skin lesions. Blood cultures showed an infection with Neisseria meningitidis. After antibiotic treatment, his symptoms resolved promptly.ConclusionChronic meningococcemia is a rare manifestation of meningococcal infection and should be considered in patients with prolonged fever, purpuric skin lesions and joint involvement.

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