title: An Unexpected Fever Post Serogroup B Meningococcal Sepsis.
abstract: This case report describes an invasive meningococcal group B infection followed by the development of Kawasaki disease (KD) complicated by macrophage activation syndrome (MAS) in a 2-year-old child. The presented case indicates the possible etiologic relationship between meningococcal sepsis and KD as support of bacterial toxin induced theory. It's important to maintain a high grade of suspicious for KD in every relapse of fever also during convalescence phase of severe infection. Usually, initial treatment with intravenous immunoglobulin is sufficient to control the disease; but, in case of refractory KD complicated by MAS, corticosteroid therapy represents a good option inducing prompt fever resolution and clinical improvement.
authors.affiliation: Pediatric Infectious Diseases Division, University of Padua , Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Donà
authors.affiliation: Pediatric Pulmonology and Allergy Division, University of Padua , Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Gnoato
authors.affiliation: Pediatric Infectious Diseases Division, University of Padua , Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Giaquinto
authors.affiliation: Pediatric Diabetology Division, Department for Woman and Child Health, University of Padua , Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Moretti
keywords: Corticosteroid therapy macrophage activation syndrome; Kawasaki Diseases; Neisseria meningitidis serogroup B