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Potentially life-threatening emergency
Acute meningococcemia in Child
Other Resources UpToDate PubMed
Potentially life-threatening emergency

Acute meningococcemia in Child

Contributors: Craig N. Burkhart MD, Dean Morrell MD
Other Resources UpToDate PubMed

Synopsis

Meningococcal disease is a rapidly progressive infection caused by Neisseria meningitides, a gram-negative diplococcus bacterium. Infection begins as a nonspecific viral-like illness that rapidly evolves (within hours) into 1 of 2 main presentations: meningitis or septicemia. Most cases are acquired through exposure to asymptomatic carriers via respiratory droplets. Children aged younger than 5 years and teenagers aged 15-19 are predominantly affected.

Complications of acute meningococcemia include pericarditis / myocarditis, disseminated intravascular coagulation (DIC), meningitis and permanent neurologic sequelae, septic arthritis, osteomyelitis, adrenal hemorrhage (Waterhouse-Friderichsen syndrome), gangrene, and death.

Related topic: chronic meningococcemia

Codes

ICD10CM:
A39.2 – Acute meningococcemia

SNOMEDCT:
186365005 – Acute meningococcemia

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:02/18/2024
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Potentially life-threatening emergency
Acute meningococcemia in Child
A medical illustration showing key findings of Acute meningococcemia : Altered mental state, Headache, Vomiting, Mottled configuration, Ecchymosis, Myalgia, Nuchal rigidity, High fever, WBC elevated
Clinical image of Acute meningococcemia - imageId=273564. Click to open in gallery.  caption: 'Widespread petechiae and purpura, some with deep gunmetal gray centers (signifying necrosis), on the arm.'
Widespread petechiae and purpura, some with deep gunmetal gray centers (signifying necrosis), on the arm.
Copyright © 2024 VisualDx®. All rights reserved.