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Chronic meningococcemia presenting with recurrent painful rash and poly-arthralgia without fever

C Delwaide1, P De Leeuw2, A François3

  • 1Neurology Service, IFAC-VIVALIA, 6900 Marche en Famenne, Belgium.

Idcases
|September 8, 2018
PubMed

Insights

Chronic meningococcemia, a rare Neisseria meningitidis infection, presents diagnostic challenges. This case highlights a young man with atypical symptoms, differing from the classic fever, vasculitis, and arthralgia triad.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Chronic meningococcemia is an uncommon and challenging diagnosis.
  • Classical presentation involves fever, cutaneous vasculitis, and arthralgia in young adults.
  • Routine diagnostics often fail to detect Neisseria meningitidis, complicating early identification.

Purpose of the Study:

  • To present a case of chronic meningococcemia in a young man.
  • To illustrate diagnostic challenges posed by atypical presentations.
  • To emphasize the importance of considering Neisseria meningitidis in non-classical cases.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and diagnostic workup.
  • Discussion of microbiological investigation limitations.

Main Results:

  • The patient did not present with the classical triad of fever, vasculitis, and arthralgia.
  • Diagnostic delays were encountered due to atypical symptoms.
  • Identification of the causative agent, Neisseria meningitidis, was challenging.

Conclusions:

  • Chronic meningococcemia can manifest with atypical symptoms.
  • Diagnostic vigilance is crucial for non-classical presentations.
  • Neisseria meningitidis should be considered even without the typical clinical triad.
Keywords:
Chronic meningococcemiaNeisseria meningitidisPCR

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