Meningococcemia complicated by myocarditis in a 16-year-old young man: a case report
| Autor: | Senda Majdoub, Haifa Regaieg, Manel Mellouli, Imed Chouchene, Mohamed Boussarsar, Rania Bouneb |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Myocarditis Adolescent Fever Fulminant Case Report Bacteremia shock Disease Neisseria meningitidis 030204 cardiovascular system & hematology medicine.disease_cause recovery Norepinephrine 03 medical and health sciences 0302 clinical medicine Furosemide Humans Medicine 030212 general & internal medicine Diuretics business.industry Ceftriaxone General Medicine medicine.disease Rash Anti-Bacterial Agents Meningococcal Infections Treatment Outcome Shock (circulatory) Neisseria meningitidis myocarditis recovery shock Female medicine.symptom business medicine.drug |
| Zdroj: | The Pan African Medical Journal Pan African Medical Journal; Vol 29, No 1 (2018); 1-5 |
| ISSN: | 1937-8688 |
| Popis: | Fulminant meningococcemia is a relatively rare life-threatening disease caused by Neisseria meningitidis. The clinical presentation is varied, but, when associated with myocarditis, it carries a particularly poor prognosis. We report a case of a patient with fulminant meningococcemia who subsequently developed severe myocardial dysfunction and successfully recovered within a period of 7 days of hospitalization. A 15-year-old girl presented with headache, fever, body ache for 1 day and few ecchymotic rash over her body for 3 hours. Blood cultures confirmed infection with N. meningitidis. After 2 days in the hospital, the patient developed dyspnea, elevated jugular venous pressure and shock. The patient was managed with intravenous ceftriaxone, furosemide and norepinephrine. Over the next 4 days the patient rapidly improved. Meningococcemia complicated by myocarditis has an extremely poor prognosis with high mortality. Our case suggests that recovery from a severe myocardial dysfunction can occur rapidly within a few days. Prompt recognition and management in this case might have contributed to the patient's rapid recovery from myocarditis. |
| Databáze: | OpenAIRE |
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