Myopericarditis as an initial presentation of meningococcemia. Unusual manifestation of infection with serotype W135.
Acute meningococcemia is a dramatic clinical syndrome from infection with the gram-negative diplococcus, Neisseria meningitidis. Although pericarditis may complicate the course of meningococcemia, it is distinctly unusual as a presenting sign. A case of disseminated meningococcemia presenting as acute myopericarditis is reported. The serotype isolated, type W135, was a sporadic cause of N. meningitidis in the Boston area. Although the patient had meningitis, bacteremia, and myopericarditis, his course was uncomplicated with early institution of antibiotic therapy.
D006801:Humans; D008297:Male; D008585:Meningitis, Meningococcal / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology*; D009345:Neisseria meningitidis / Q000145:classification; D010493:Pericarditis / Q000209:etiology*; D018805:Sepsis / Q000175:diagnosis* / Q000209:etiology; D012703:Serotyping