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Ugeskrift for laeger · Jun 2010
Case Reports[Chronic meningococcemia with meningitis triggered by steroid therapy].
- Mette Molly-Søholm and Jeppe Sylvest Nielsen.
- Infektionsmedicinsk Afdeling Q, Arhus Universitetshospital, Skejby, 8200 Arhus N, Denmark. mettmoll@rm.dk
- Ugeskr. Laeg. 2010 Jun 21;172(25):1916-7.
AbstractWe present a case of chronic meningococcemia in a 27-year-old male with seven weeks of cyclic fever, arthralgia, and exanthema. While numerous blood cultures were negative, immunosuppressive treatment led to acute meningitis, and Neisseria meningitidis was detected. Serial meningococcal antibody tests were retrospectively analyzed and showed discrete seroconversion. Chronic meningococcemia is important to recognize since it can lead to acute meningitis in immunosuppressed or untreated patients resulting in high morbidity and mortality.
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