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

Bouneb, Rania; Mellouli, Manel; Regaïeg, H.; Majdoub, Senda; Chouchene, I.; Benzarti, M.

doi:10.11604/pamj.2018.29.149.13107

Cited by 4 publications

(6 citation statements)

References 8 publications

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“… 9 2008 MSSA M 45 Fever + 160 – ST-elevation VT + – 20 + + 0 0 + – Definite Buoneb et al. 10 2018 Neisseria meningitidis M 16 Fever, Rash + – 1071 ST-elevation 0 – + 35 0 + + 0 0 – Probable Gawalkar et al. 11 2017 Neisseria meningitidis M 17 Fever, Resp, Rash 0 – – Ripolarization abn.…”

Section: Resultsmentioning

confidence: 99%

Epidemiologic and clinical profiles of bacterial myocarditis. Report of two cases and data from a pooled analysis

Ferrero

Piazza

Lorini

et al. 2020

Indian Heart Journal

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We aimed to characterize the epidemiology, diagnostic peculiarities and outcome determinants of bacterial myocarditis. Two cases from our institution and literature reports were collected ending up with a total of 66 cases. In 37 (56%) patients, the diagnosis was confirmed by magnetic resonance and histopathological criteria. The other patients were classified as having possible myocarditis. Only occurrence of rhythm disturbances was associated with the specific diagnosis of myocarditis (p = 0.04). Thirty-two (48%) patients presented with severe sepsis that was associated with a worse prognosis. At multivariate analysis, left ventricular ejection fraction (LVEF) at admission and heart rhythm disturbances were associated with incomplete recovery (odds ratio (OR) 1.1, 95% (CI) 1.03–1.2, p = 0.004 and OR 6.6, 95% CI 1.35–32.5, p = 0.02, respectively). In summary, bacterial myocarditis is uncommon. Most commonly, it is secondary to septic dissemination of bacteria or to transient secondary myocardial toxicity.

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Section: Resultsmentioning

confidence: 99%

Epidemiologic and clinical profiles of bacterial myocarditis. Report of two cases and data from a pooled analysis

Ferrero

Piazza

Lorini

et al. 2020

Indian Heart Journal

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“…It may cause a fatal form of septic shock, and most deaths occur within the first 24 hours. It is distinct from other forms of septic shock, mostly because of the appearance of hemorrhagic skin lesions 7 . Meningococcemia is one of the precursors to PF, which is characterized by widespread hemorrhagic skin necrosis from vascular thrombosis.…”

Section: Discussionmentioning

confidence: 99%

“…It is distinct from other forms of septic shock, mostly because of the appearance of hemorrhagic skin lesions. 7 Meningococcemia is one of the precursors to PF, which is characterized by widespread hemorrhagic skin necrosis from vascular thrombosis. Extensive purpuric necrosis may develop in the extremities and cause amputation.…”

Section: Figure 3 Casementioning

confidence: 99%

“…The patients may be discharged from PICU in a relatively shorter time. 3,7 Before colostomy was performed in these three cases, irrigation with normal saline, a thin layer of antibacterial ointment such as mupirocin, and an antiseptic dressing were used as local wound care. Negative-pressure wound therapy was given to two patients after colostomy.…”

Section: Figure 3 Casementioning

confidence: 99%

“…Correct and timely management of PF is critical. Although there are several reports regarding the management of a patient with PF and severe tissue loss, 6,7 no report describes how to control open perianal and gluteal wounds from the PF form of meningococcemia.…”

Section: Introductionmentioning

confidence: 99%

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Temporary Diverting End-Colostomy in Critically Ill Children with Severe Perianal Wound Infection

Gün¹,

Kendirli²,

Özdemir³

et al. 2021

Adv Skin Wound Care

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Broad and deep perianal wounds are challenging in both adult and pediatric ICUs. These wounds, if contaminated with gastrointestinal flora, can cause invasive sepsis and death, and recovery can be prolonged. Controlling the source of infection without diverting stool from the perianal region is complicated. The option of protective colostomy is not well-known among pediatric critical care specialists, but it can help patients survive extremely complicated critical care management. These authors present three critically ill children who required temporary protective colostomy for perianal wounds because of various clinical conditions. Two patients were treated for meningococcemia, and the other had a total artificial heart implantation for dilated cardiomyopathy. There was extensive and profound tissue loss in the perianal region in the patients with meningococcemia, and the patient with cardiomyopathy had a large pressure injury. Timely, transient, protective colostomy was beneficial in these cases and facilitated the recovery of the perianal wounds. Temporary diverting colostomy should be considered as early as possible to prevent fecal transmission and accelerate perianal wound healing in children unresponsive to local debridement and critical care.

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The Diverse Spectrum of Invasive Meningococcal Disease in Pediatric and Adolescent Patients: Narrative Review of Cases and Case Series

Bobde,

Sohn,

Bekkat-Berkani

et al. 2024

Infect Dis Ther

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Introduction: Invasive meningococcal disease (IMD) is a potentially life-threatening disease caused by Neisseria meningitidis infection. We reviewed case reports of IMD from newborns, infants, children, and adolescents, and described the real-life clinical presentations, diagnoses, treatment paradigms, and clinical outcomes.Methods: PubMed and Embase were searched for IMD case reports on patients aged B 19 years published from January 2011 to March 2023 (search terms ''Neisseria meningitidis'' or ''invasive meningococcal disease '', and ''infant'', ''children'', ''paediatric'', pediatric'', or ''adolescent''). Results: We identified 97 publications reporting 184 cases of IMD, including 25 cases with a fatal outcome. Most cases were in adolescents aged 13-19 years (34.2%), followed by children aged 1-5 years (27.6%), children aged 6-12 years (17.1%), infants aged 1-12 months (17.1%), and neonates (3.9%). The most common disease-causing serogroups were W (40.2%), B (31.7%), and C (10.4%). Serogroup W was the most common serogroup in adolescents (17.2%), and serogroup B was the most common in the other age groups, including children aged 1-5 years (11.5%). The most common clinical presentations were meningitis (46.6%) and sepsis (36.8%). Conclusions: IMD continues to pose a threat to the health of children and adolescents. While this review was limited to case reports and is not reflective of global epidemiology, adolescents represented the largest group with IMD. Additionally, nearly half of the patients who died were adolescents, emphasizing the importance of monitoring and vaccination in this age group. Different infecting serogroups were predominant in different age groups, highlighting the usefulness of multivalent vaccines to provide the broadest possible

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

Cited by 4 publications

References 8 publications

Epidemiologic and clinical profiles of bacterial myocarditis. Report of two cases and data from a pooled analysis

Epidemiologic and clinical profiles of bacterial myocarditis. Report of two cases and data from a pooled analysis

Temporary Diverting End-Colostomy in Critically Ill Children with Severe Perianal Wound Infection

The Diverse Spectrum of Invasive Meningococcal Disease in Pediatric and Adolescent Patients: Narrative Review of Cases and Case Series

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