title: Meningococcemia without meningitis in Japan.
abstract: 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.
authors.affiliation: Department of Infectious Disease and Infection Control, The Jikei University School of Medicine. horino@jikei.ac.jp
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Horino
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kato
authors.forename: Fumiya
authors.initials: F
authors.lastname: Sato
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Nakazawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Yoshida
authors.forename: Shoichi
authors.initials: S
authors.lastname: Onodera
authors.forename: Masato
authors.initials: M
authors.lastname: Kohda
authors.forename: Koma
authors.initials: K
authors.lastname: Matsuo
authors.forename: Takaoki
authors.initials: T
authors.lastname: Ishiji
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Takahashi
authors.forename: Haruo
authors.initials: H
authors.lastname: Watanabe