title: [A case of meningococcal sepsis].
abstract: We describe a 7-years boy by with a meningococcal sepsis due to Neisseria Meningitidis, with very serious evolution of cutaneous necrosis, initial D.I.C. and heart failure. The clinical picture do not improve with antibiotic therapy (CAF-penicillin), but the association ceftriaxone + tobramycin results in rapid improvement. The cutaneous necrosis, especially evident on gluteus, arms and legs, were treated locally with AgNO3 and penicillin-solution. After 4 weeks of treatment, also this cutaneous involvement improved and now the boy is healthy, without residual signs neither systemic nor cutaneous.
authors.affiliation: U.S.S.L. n. 47, Ospedale degli Infermi, Biella (Vercelli).
authors.forename: L
authors.initials: L
authors.lastname: Bonzano
authors.forename: G
authors.initials: G
authors.lastname: Colombino
authors.forename: G
authors.initials: G
authors.lastname: Petri
authors.forename: L
authors.initials: L
authors.lastname: Vittone
authors.forename: C
authors.initials: C
authors.lastname: Barbera
authors.forename: R
authors.initials: R
authors.lastname: Manzoni
mesh_terms: D000208:Acute Disease; D002648:Child; D004359:Drug Therapy, Combination; D004438:Ecchymosis / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008297:Male; D008589:Meningococcal Infections / Q000188:drug therapy / Q000473:pathology*; D009336:Necrosis / Q000188:drug therapy / Q000473:pathology; D009345:Neisseria meningitidis; D011693:Purpura / Q000188:drug therapy / Q000473:pathology; D012772:Shock, Septic / Q000188:drug therapy / Q000473:pathology*; D012867:Skin / Q000473:pathology; D012874:Skin Diseases, Infectious / Q000188:drug therapy / Q000473:pathology*
vernacular_title: Un caso di sepsi meningococcica.