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- Ji Yun Bae, Ahrong Ham, Hee Jung Choi, and Chung-Jong Kim.
- Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
- Medicine (Baltimore). 2020 May 22; 99 (21): e20362.
RationaleLate complement deficiency increases susceptibility to meningococcal disease and recurrent infections. In Korea, 5 case reports have described meningococcal disease with complement deficiency. However, C6 deficiency has not been described previously.Patient ConcernsA 21-year-old police trainee presented with recurrent meningococcal meningitis. He was housed in communal living quarters until 20 days before the initial symptom onset.DiagnosisHe was diagnosed with meningococcal meningitis with C6 deficiency.InterventionsHe was treated with intravenous ceftriaxone. An additional dose of quadrivalent meningococcal conjugate vaccine was administered after discharge.OutcomesHe was discharged without complications.LessonsScreening for complement deficiency is necessary in patients with a history of recurrent meningococcal infections to provide appropriate care and prevent recurrent infections.
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