[Secondary immunologically-caused myocarditis, pericarditis and exudative pleuritis due to meningococcal meningitis].
Myocarditis, pericarditis and pleural effusion as secondary immunological reactions due to meningococcal meningitis are rare. Meningococcal meningitis is itself uncommon, with a morbidity of approximately 1.25 cases per 100,000 inhabitants per year in Germany. Cardial participation could be observed either primary infectious-toxic in the first week or secondary immunologic in the second week after disease onset. In our patient, six days after the onset of meningococcal meningitis (serogroup B) a distinct swelling of the myocardium appeared together with pericardial effusion in the absence of Waterhouse-Friderichsen syndrome. This case is proving difficult to tackle therapeutically due to repeated relapses.
Stange
K
K
I. Medizinische Klinik Klinikum Hoyerswerda Maria-Grollmuss-Strasse 10 02977 Hoyerswerda.
Damaschke
H J
HJ
Berwing
K
K
D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D001379:Azathioprine / Q000008:administration & dosage / Q000627:therapeutic use; D004234:Diuretics, Osmotic / Q000008:administration & dosage / Q000627:therapeutic use; D004452:Echocardiography; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008353:Mannitol / Q000008:administration & dosage / Q000627:therapeutic use; D008585:Meningitis, Meningococcal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D010400:Penicillin G / Q000008:administration & dosage / Q000627:therapeutic use; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D010493:Pericarditis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D010996:Pleural Effusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D013902:Radiography, Thoracic; D012008:Recurrence; D013997:Time Factors
D000893:Anti-Inflammatory Agents; D000925:Anticoagulants; D004234:Diuretics, Osmotic; D005343:Fibrinolytic Agents; D010406:Penicillins; D008353:Mannitol; D006493:Heparin; D011239:Prednisolone; D001379:Azathioprine; D010400:Penicillin G