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meningococcal infections/feber
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Procalcitonin as a diagnostic marker of meningococcal disease in children presenting with fever and a rash.
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BACKGROUND
Procalcitonin (PCT), a precursor of calcitonin, is a recognised marker of bacterial sepsis, and high concentrations correlate with the severity of sepsis. PCT has been proposed as an earlier and better diagnostic marker than C reactive protein (CRP) and white cell count (WCC). This
[Fever and skin hemorrhages in children--is it meningococcal disease?].
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BACKGROUND
Our main aims were to establish criteria for early distinction between meningococcal disease and other conditions with similar clinical features, and to identify other causes of haemorrhagic rashes accompanied by fever.
METHODS
This prospective study comprised 264 infants and children
Disco fever: epidemic meningococcal disease in northeastern Argentina associated with disco patronage.
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Neisseria meningitidis is a leading cause of adult meningitis worldwide. From 5 to 14 August 1996, 8 cases of meningococcal disease occurred in Corrientes city (population 306,000) in northeastern Argentina. Those infected ranged in age from 15 to 45 years (median, 18.5). To determine risk factors
A Case of Meningococcal Septicaemia or Spotted Fever.
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Spotted fever: meningococcal disease and petechiae.
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Incidence of meningococcal infection in children with fever and non-blanching rash.
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[Chronic meningococcal infection as a cause of fever of unknown origin].
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Meningococcal Septicaemia with Malarial Type of Fever.
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Meningococcal disease in Wales: clinical features, outcome and public health management.
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In Wales, in 1988, 119 patients with meningococcal disease were identified, so giving a crude annual incidence of 4.2 patients per 100,000 population. The combined classical clinical features of fever, vomiting, neck stiffness, headache and purpuric rash were identified in only 9% of patients. Fever
Clinical and hematologic features do not reliably identify children with unsuspected meningococcal disease.
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OBJECTIVE
To determine the frequency of unsuspected meningococcal disease (UMD) in young febrile children with meningococcal infections and evaluate whether clinical and laboratory parameters commonly used in the evaluation of fever can help identify children with UMD.
METHODS
We reviewed the
Clinical spectrum of meningococcal infection in infants younger than six months of age.
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BACKGROUND
Neisseria meningitidis is one of the most significant bacterial infections in children and adolescents. As transplacental antibodies in the circulation gradually decline, the prevalence of meningococcal disease among young infants is high, and often presents an invasive clinical
Performance characteristics of the polymerase chain reaction assay to confirm clinical meningococcal disease.
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BACKGROUND
Confirmation of clinical meningococcal disease (MCD) is essential for management of patients, contacts, and outbreaks. Blood and CSF cultures, the traditional gold standard diagnostic tests, have been adversely affected by preadmission parenteral penicillin and fewer lumbar punctures.
Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review.
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OBJECTIVE
To determine the incidence of immune complex associated complications (IAC) after severe meningococcal disease (SMD) in a group of Dutch children admitted to a paediatric intensive care unit (PICU).
METHODS
Retrospective chart analysis and follow up of 130 survivors of SMD admitted to
Invasive meningococcal disease in children in Ireland, 2001-2011.
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BACKGROUND
In 1999, invasive meningococcal disease was hyperendemic in Ireland at 14.75/100 000 population, with 60% group B and 30% group C diseases. National sepsis guidelines and meningococcal C vaccines were introduced in 2000. Despite a spontaneous decline in group B infection, invasive
Invasive meningococcal infection in Western Australia.
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OBJECTIVE
To review signs and symptoms in children diagnosed with meningococcal infection; to assess age, sex and race distribution of meningococcal infection; and to assess associations of the presenting features with morbidity and mortality.
METHODS
Retrospective case notes review for a 5-year
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