Case study report: Don’t forget meningococcus
Authors:
V. Krejčová; K. Špičáková; J. David; V. Stará; F. Fencl
Authors place of work:
Pediatrická klinika 2. LF UK a FN Motol, Praha
Published in the journal:
Čes-slov Pediat 2021; 76 (7): 373-377.
Category:
Case Report
Summary
Currently we have been facing a newly emerging serious complication of COVID-19 characterized by an unusual clinical condition of an abnormal systematic immune response with multiorgan damage. This condition was titled Paediatric inflammatory multisystem syndrome in children associated with SARS-CoV-2 (PIMS-TS) and is already becoming known among the paediatric professional community. PIMS-TS is a part of a differential diagnosis in patients exhibiting fever lasting at least 3-days. Nevertheless, in febrile states of unclear aetiology, we should primarily aim to rule out other possible infectious causes.
Here we present a case study reporting on a thirteen-month-old girl suffering from a severe and complicated meningococcal meningitis for whom a PIMS-TS diagnosis was initially considered.
Keywords:
sepsis – meningococcal meningitis – pericarditis – PIMS-TS
Zdroje
1. Krbková L. Neuroinfekce. In: Ošlejšková H, et al. Dětská neurologie. Olomouc: Solen, 2015: 210–225.
2. Viallon A, Botelho-Nevers E, Zeni F. Clinical decision rules for acute bacterial meningitis: current insights. Open Access Emerg Med 2016; 8: 7–16.
3. Křížová P, Kozáková J, Lebedová V. Hnisavé meningitidy u dětí. Pediatr praxi 2017; 18 (1): 8–11.
4. Šibíková M, David J, Lhotská J, et al. Problematika časné diagnostiky neuroinfekcí. Čes-slov Pediat 2019; 74 (6): 366–370.
5. Kim KS. Acute bacterial meningitis in infants and children. Lancet Infect Dis 2010; 10 (1): 32–42.
6. Jiang L, Tang K, Levin M, et al. COVID-19 and multisystem inflammatory syndrome in children and adolescents. Lancet Infect Dis 2020; 20 (11): e276–e288.
7. Fencl F, Šibíková M, David J, et al. Syndrom multisystémové zánětlivé odpovědi asociovaný s COVID-19 u dětí. Doporučený postup ČPS ČLS JEP. Čes-slov Pediat 2021; 76 (1): 4–9.
8. Sáez-Llorens X, McCracken GH Jr. Bacterial meningitis in children. Lancet 2003; 361 (9375): 2139–2148.
9. de Souza AL, Salgado MM, Alkmin MD, et al. Purulent pericarditis caused by Neisseria meningitidis serogroup C and confirmed through polymerase chain reaction. Scand J Infect Dis 2006; 38 (2): 143–145.
10. Apicella MA. Extrameningeal complications of Neisseria meningitidis serogroup W135 infection. Clin Infect Dis 2004; 38 (11): 1638–1639.
11. Brasier AR, Macklis JD, Vaughan D, et al. Myopericarditis as an initial presentation of meningococcemia. Unusual manifestation of infection with serotype W135. Am J Med 1987; 82 (3): 641–644.
12. Garcia NS, Castelo JS, Ramos V, et al. Frequency of myocarditis in cases of fatal meningococcal infection in children: observations on 31 cases studied at autopsy. Rev Soc Bras Med Trop 1999; 32 (5): 517–522.
13. Abu Omar R, Fink D, Megged O. Cardiac arrhythmias in meningococcal meningitis - case report and review of the literature. Acta Paediatr 2013; 102 (6): e279–e280.
14. Gupta S, Rudolph G. Cardiac tamponade as a delayed presentation of Neisseria meningitidis infection in a 5-month-old infant. Pediatr Emerg Care 2007; 23 (3): 163–165.
15. Linhart A, Toušek P. Summary of 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Prepared by the Czech Society of Cardiology. Cor Vasa 2016; 58: e106–e126.
16. Finkelstein Y, Adler Y, Nussinovitch M, et al. A new classification for pericarditis associated with meningococcal infection. Eur J Pediatr 1997; 156 (8): 585–588.
17. Herman RA, Rubin HA. Meningococcal pericarditis without meningitis presenting as tamponade. N Engl J Med 1974; 290 (3): 143–144.
18. Faye A, Mariani-Kurkdjian P, Taha MK, et al. Clinical features and outcome of pediatric Neisseria meningitidis serogroup W135 infection: a report of 5 cases. Clin Infect Dis 2004; 38 (11): 1635–1637.
19. Shinha T, Fujita H. Pericarditis due to Neisseria meningitidis serogroup W135. IDCases 2018; 12: 53–55.
20. Fuglsang Hansen J, Johansen IS. Immunmedieret perikarditis hos patient med meningokokmeningitis [Immune-mediated pericarditis in a patient with meningococcal meningitis]. Ugeskr Laeger 2013; 175 (14): 967–968.
21. Chiappini E, Galli L, de Martino M, et al. Recurrent pericarditis after meningococcal infection. Pediatr Infect Dis J 2004; 23 (7): 692–693.
22. Whittaker E, Bamford A, Kenny J, et al. Clinical characteristics of 58 children with a pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2. JAMA 2020; 324 (3): 259–269.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
2021 Číslo 7
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
Najčítanejšie v tomto čísle
- Newborn resuscitation and support of transition of infants at birth 2021
- Laryngomalacia – when to operate?
- Non-surgical treatment of pectus excavatum in children
- A new strategy for the treatment of X-linked hypophosphatemic rickets