Meningococcemia complicada por miocardite

Fm, Albanesi Filho; Rm, Rocha; Ra, Barros

doi:10.1590/s0066-782x1998000200009

Cited by 4 publications

(3 citation statements)

References 12 publications

(16 reference statements)

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“…Previous evidence has shown that resolution of clinical myocarditis is often prolonged and incomplete 14. However, this report reaffirms the possibility of rapid resolution of severe meningococcal myocarditis, which has been seen before 6.…”

Section: Discussionsupporting

confidence: 81%

“…This complication is not recognized very frequently, but has been described before 6,11–14. An autopsy study in children revealed the presence of myocarditis in 42% of 31 children who had died of meningococcal infection, though the extent of inflammation was mild in the majority,15 which suggests that myocarditis may be more common than is recognized clinically.…”

Section: Discussionmentioning

confidence: 95%

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Rapid recovery following fulminant meningococcemia complicated by myocarditis in a 15-year-old Nepalese girl: a case report

Shrestha¹,

Shrestha²,

Giri³

2013

IMCRJ

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IntroductionFulminant meningococcemia is a relatively rare life-threatening disease caused by Neisseria meningitidis. The clinical presentation is varied, but, when associated with myocarditis, it carries a particularly poor prognosis. We report a case of a patient with fulminant meningococcemia who subsequently developed severe myocardial dysfunction and successfully recovered within a period of 14 days of hospitalization.Case presentationA 15-year-old girl presented with headache, fever, body ache, and diarrhea for 1 day, and ecchymotic rash over her body for 4 hours. Blood cultures confirmed infection with N. meningitidis. After 6 days in the hospital, the patient developed anasarca, elevated jugular venous pressure, and shock. The patient was managed with intravenous ceftriaxone and captopril. Over the next 3 days the patient rapidly improved and started walking.ConclusionMeningococcemia complicated by myocarditis has an extremely poor prognosis with high mortality. Our case suggests that recovery from a severe myocardial dysfunction can occur rapidly within a few days. Prompt recognition and management in this case might have contributed to the patient’s rapid recovery from myocarditis.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 95%

Rapid recovery following fulminant meningococcemia complicated by myocarditis in a 15-year-old Nepalese girl: a case report

Shrestha¹,

Shrestha²,

Giri³

2013

IMCRJ

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“…The unusual thing about our patient was her rapid and successful recovery within a span of a few days. Previous evidence has shown that resolution of clinical myocarditis is often prolonged and incomplete [ 9 ]. However, this report reaffirms the possibility of rapid resolution of severe meningococcal myocarditis, which has been seen before [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Meningococcemia complicated by myocarditis in a 16-year-old young man: a case report

et al. 2018

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Fulminant meningococcemia is a relatively rare life-threatening disease caused by Neisseria meningitidis. The clinical presentation is varied, but, when associated with myocarditis, it carries a particularly poor prognosis. We report a case of a patient with fulminant meningococcemia who subsequently developed severe myocardial dysfunction and successfully recovered within a period of 7 days of hospitalization. A 15-year-old girl presented with headache, fever, body ache for 1 day and few ecchymotic rash over her body for 3 hours. Blood cultures confirmed infection with N. meningitidis. After 2 days in the hospital, the patient developed dyspnea, elevated jugular venous pressure and shock. The patient was managed with intravenous ceftriaxone, furosemide and norepinephrine. Over the next 4 days the patient rapidly improved. Meningococcemia complicated by myocarditis has an extremely poor prognosis with high mortality. Our case suggests that recovery from a severe myocardial dysfunction can occur rapidly within a few days. Prompt recognition and management in this case might have contributed to the patient's rapid recovery from myocarditis.

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Sekundär immunologisch bedingte Myokarditis, Perikarditis und Pleuritis exsudativa infolge einer Meningokokken-Meningitis

2001

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Myocarditis, pericarditis and pleural effusion as secondary immunological reactions due to meningococcal meningitis are rare. Meningococcal meningitis is itself uncommon, with a morbidity of approximately 1.25 cases per 100,000 inhabitants per year in Germany. Cardial participation could be observed either primary infectious-toxic in the first week or secondary immunologic in the second week after disease onset. In our patient, six days after the onset of meningococcal meningitis (serogroup B) a distinct swelling of the myocardium appeared together with pericardial effusion in the absence of Waterhouse-Friderichsen syndrome. This case is proving difficult to tackle therapeutically due to repeated relapses.

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Meningococcemia complicada por miocardite

Cited by 4 publications

References 12 publications

Rapid recovery following fulminant meningococcemia complicated by myocarditis in a 15-year-old Nepalese girl: a case report

Rapid recovery following fulminant meningococcemia complicated by myocarditis in a 15-year-old Nepalese girl: a case report

Meningococcemia complicated by myocarditis in a 16-year-old young man: a case report

Sekundär immunologisch bedingte Myokarditis, Perikarditis und Pleuritis exsudativa infolge einer Meningokokken-Meningitis

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