Related Experiment Videos
[Arthritis and purulent pericarditis as presenting form of sepsis caused by serogroup C meningococcus]
Abstract:
Meningococcal sepsis is usually a severe disease with very varied clinical manifestations. In our surrounding the most frequently appearing Neisseria meningitidis belongs to serogroup B, and only 10.2% belongs to group C. Both arthritis and exudative pericarditis are described as late, independent complications of N. Meningitidis C infections. The coexistence of both arthritis and suppurative pericarditis caused by this organism is extremely rare. A case of sepsis due to serogroup C N. Meningitidis in a patient who developed a right shoulder arthritis followed by septic shock and purulent pericarditis is presented. The characteristics of arthritis and pericarditis as complications of the acute meningococcal infection are analyzed, emphasizing the rareness of the coappearance of both as a form of clinical manifestation, as well as the purulent characteristic in order to keep them in mind and facilitate a prompt diagnosis and appropriate treatment.
Insights
Meningococcal sepsis caused by Neisseria meningitidis serogroup C can lead to rare complications. This case highlights the unusual coexistence of arthritis and purulent pericarditis, emphasizing prompt diagnosis for severe meningococcal infections.
Area of Science:
- Infectious Diseases
- Cardiology
- Rheumatology
Background:
- Meningococcal sepsis presents with diverse clinical features.
- Neisseria meningitidis serogroup B is most common, with serogroup C accounting for 10.2% in the region.
- Arthritis and exudative pericarditis are known late complications of Neisseria meningitidis serogroup C infections.
Observation:
- A rare case of sepsis due to Neisseria meningitidis serogroup C is presented.
- The patient developed right shoulder arthritis, followed by septic shock and purulent pericarditis.
- This highlights the coexistence of arthritis and suppurative pericarditis from this pathogen.
Findings:
- The coexistence of arthritis and suppurative pericarditis caused by Neisseria meningitidis serogroup C is extremely rare.
- Analysis of arthritis and pericarditis as complications of acute meningococcal infection.
- Emphasis on the purulent nature of these coexisting complications.
Implications:
- Recognizing the rare coappearance of arthritis and purulent pericarditis is crucial for prompt diagnosis.
- Facilitating appropriate and timely treatment for severe meningococcal infections.
- Raising awareness among clinicians about these unusual presentations of meningococcal disease.