Meningococcemia without Meningitis in Japan

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  • Horino Tetsuya
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Kato Tetsuro
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Sato Fumiya
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Sakamoto Mitsuo
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Nakazawa Yasushi
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Yoshida Masaki
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Onodera Shoichi
    Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
  • Kohda Masato
    Department of Dermatology, The Jikei University School of Medicine
  • Matsuo Koma
    Department of Dermatology, The Jikei University School of Medicine
  • Ishiji Takaoki
    Department of Dermatology, The Jikei University School of Medicine
  • Takahashi Hideyuki
    Department of Bacteriology, National Institute of Infectious Disease
  • Watanabe Haruo
    Department of Bacteriology, National Institute of Infectious Disease

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抄録

We report a case of meningococcemia without meningitis, which is a rare infectious disease in Japan. A 32-year-old woman was referred to our hospital with fever and joint pain. Her clinical presentation and the results of laboratory examination on admission suggested viral infection. However, her condition rapidly progressed to septic shock with fulminans purpura. Blood culture grew Neisseria meningitidis. She received antimicrobial therapy and underwent localized therapy for skin lesions. Meningococcal infection should be considered in patients who have fever along with skin rash or petechiae even when there are no signs of meningitis. In this report, we also review case reports of meningococcemia without meningitis in Japan.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 47 (17), 1543-1547, 2008

    一般社団法人 日本内科学会

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