Severe myalgia of the lower extremities as the first clinical feature of meningococcal purpura fulminans
| Autor: | Alexandre Leite de Souza, Maristela Marques Salgado, Antonio Carlos Seguro, Alberto José da Silva Duarte, Jaques Sztajnbok, Maria das Graças Adelino Alkmin, Carla C. Romano |
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| Rok vydání: | 2007 |
| Předmět: |
myalgia
Adult Male medicine.medical_specialty IgA Vasculitis Disease Meningitis Meningococcal Neisseria meningitidis Meningococcal disease Polymerase Chain Reaction Virology Medicine Humans business.industry medicine.disease Dermatology Surgery Purpura Infectious Diseases Meningococcal sepsis Tissue necrosis Parasitology medicine.symptom business Meningitis Purpura fulminans |
| Zdroj: | The American journal of tropical medicine and hygiene. 77(4) |
| ISSN: | 0002-9637 |
| Popis: | In patients with meningococcal infection, devastating presentations, such as purpura fulminans, which can progress to extensive tissue necrosis of the limbs and digits, have a significant social impact. The case presented herein illustrates such a phenomenon in a patient who developed bilateral necrosis of the lower extremities as a result of infection with Neisseria meningitis. We emphasize that severe myalgia was the first clinical manifestation of meningococcal purpura fulminans in our case. However, myalgia has typically been overlooked and undervalued as an early clinical feature of meningococcal sepsis. Early recognition and prompt initial antibiotic therapy continue to be the cornerstones of the successful management of this dramatic disease, reducing morbidity and mortality. |
| Databáze: | OpenAIRE |
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