Meningococcemia without meningitis in Japan.
We report a case of meningococcemia without meningitis, which is a rare infectious disease in Japan. A 32-year-old woman was referred to our hospital with fever and joint pain. Her clinical presentation and the results of laboratory examination on admission suggested viral infection. However, her condition rapidly progressed to septic shock with fulminans purpura. Blood culture grew Neisseria meningitidis. She received antimicrobial therapy and underwent localized therapy for skin lesions. Meningococcal infection should be considered in patients who have fever along with skin rash or petechiae even when there are no signs of meningitis. In this report, we also review case reports of meningococcemia without meningitis in Japan.
Horino
Tetsuya
T
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine. horino@jikei.ac.jp
Kato
Tetsuro
T
Sato
Fumiya
F
Sakamoto
Mitsuo
M
Nakazawa
Yasushi
Y
Yoshida
Masaki
M
Onodera
Shoichi
S
Kohda
Masato
M
Matsuo
Koma
K
Ishiji
Takaoki
T
Takahashi
Hideyuki
H
Watanabe
Haruo
H