[A case of meningococcal sepsis].
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.
Bonzano
L
L
U.S.S.L. n. 47, Ospedale degli Infermi, Biella (Vercelli).
Colombino
G
G
Petri
G
G
Vittone
L
L
Barbera
C
C
Manzoni
R
R
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*
Un caso di sepsi meningococcica.