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

•Chronic meningococcemia is an uncommon disorder, representing diagnosis challenge.•Routine microbiological investigations frequently failed to identify incriminated micro-organism, Neisseria meningitidis.•Early diagnosis of chronic meningococcemia is crucial to avoid complications.•PCR technic has...

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Bibliographic Details
Published in:IDCases 2018-01, Vol.14, p.e00416-e00416, Article e00416
Main Authors: Delwaide, C., De Leeuw, P., François, A., Beckers, P., Hennaux, V., Lefèvre, Ph
Format: Article
Language:English
Subjects:
Chronic meningococcemia
Human health sciences
Laboratory medicine & medical technology
Médecine de laboratoire & technologie médicale
Neisseria meningitidis
PCR
Sciences de la santé humaine
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Summary:•Chronic meningococcemia is an uncommon disorder, representing diagnosis challenge.•Routine microbiological investigations frequently failed to identify incriminated micro-organism, Neisseria meningitidis.•Early diagnosis of chronic meningococcemia is crucial to avoid complications.•PCR technic has been proved highly precious for early diagnosis of chronic meningococcemia. Chronic meningococcemia is an uncommon disorder, representing a diagnostic challenge. Classically, this pathology would be considered in young adults with a history of episodes of fever, disseminated cutaneous vasculitis and arthralgia. Exact and rapid diagnosis is often further challenged by the fact that routine microbiological investigations frequently failed to identify incriminated micro-organism, Neisseria meningitidis. Here we present the case of a young man not presenting with the classical triad.
ISSN:2214-2509
2214-2509
DOI:10.1016/j.idcr.2018.e00416