Meningococcemia in an 11 Months Old Infant.

Autor: Shrestha R; Department of Pediatrics, Shree Birendra Hospital, Kathmandu, Nepal., Karki S; Military Hospital, Itahari, Sunsari, Nepal., Khadka M; Nepalese Army Institute of Health Sciences, Kathmandu, Nepal., Sapkota S; Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal., Timilsina B; Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal., Khadka S; Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal.
Jazyk: angličtina
Zdroj: Case reports in infectious diseases [Case Rep Infect Dis] 2023 Mar 08; Vol. 2023, pp. 8951318. Date of Electronic Publication: 2023 Mar 08 (Print Publication: 2023).
DOI: 10.1155/2023/8951318
Abstrakt: Meningococcemia is the infection of the blood caused by Neisseria meningitidis . Herein, we report a case of meningococcemia in an 11 months old infant who had a high-grade fever, nonblanching purpuric rash over the face and limbs, low blood pressure, tachycardia, and prolonged capillary refill time, but without neck rigidity and focal neurologic signs. He recovered after supportive care and treatment with antibiotics (intravenous ceftriaxone, vancomycin, and teicoplanin). Therefore, in a febrile, ill-looking child in shock with a nonblanching rash, meningococcal disease should be suspected. The study shows the importance of vaccination against meningococcal disease.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Rachana Shrestha et al.)
Databáze: MEDLINE
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