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Published on: November 5, 2019
CHRONIC MENINGOCOCCEMIA; EPIDEMIOLOGY, DIAGNOSIS AND TREATMENT
Abstract:
This report describes four cases of chronic meningococcemia with the characteristic manifestations of recurrent episodes of fever, chills, night sweats, headache and anorexia, associated with skin rash and arthralgias. The diagnosis was established in all instances by blood culture. Administration of sulfonamides in three cases and penicillin in the fourth resulted in prompt recovery. The recent finding of a strain of sulfonamide-resistant meningococci, however, indicates that antibiotic-sensitivity tests should be carried out in all cases of meningococcal disease. While waiting for the results of such tests to be reported, the clinician should initiate treatment with large doses of a sulfonamide and penicillin in combination.
Insights
This study details four chronic meningococcemia cases, highlighting recurrent symptoms and effective treatment with antibiotics. It emphasizes the need for antibiotic-sensitivity testing due to emerging drug resistance in meningococcal disease.
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Background:
- Chronic meningococcemia is a rare but serious condition.
- Characterized by recurrent fever, chills, sweats, headache, anorexia, rash, and joint pain.
- Prompt diagnosis and treatment are crucial for patient outcomes.
Purpose of the Study:
- To report four cases of chronic meningococcemia.
- To discuss diagnostic methods and treatment efficacy.
- To highlight the importance of antibiotic sensitivity testing.
Main Methods:
- Case series describing four patients with chronic meningococcemia.
- Diagnosis confirmed via blood cultures.
- Treatment administered included sulfonamides and penicillin.
Main Results:
- All four cases showed characteristic symptoms of chronic meningococcemia.
- Blood cultures successfully diagnosed the condition in all instances.
- Sulfonamides and penicillin led to prompt recovery in the reported cases.
Conclusions:
- Chronic meningococcemia requires careful diagnosis and management.
- Emergence of sulfonamide-resistant strains necessitates antibiotic-sensitivity testing.
- Combination therapy with sulfonamides and penicillin is recommended pending test results.
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