Chronic meningococcemia with meningitis triggered by steroid therapy
Molly-Søholm, M.; Nielsen, J.S.
Ugeskrift for Laeger 172(25): 1916-1917
2010
ISSN/ISBN: 1603-6824 PMID: 20569662 Document Number: 640021
We 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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