Neisseria meningitidis presenting as acute abdomen and recurrent reactive pericarditis

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• 作者：Karolina Akinosoglou^a ; ^c ; ^{akin@upatras.gr" class="auth_mail" title="E-mail the corresponding author} ; Angelos Alexopoulos^a ; Nikolaos Koutsogiannis^b ; Charalampos Gogos^a ; ^c ; Aleksandra Lekkou^a ; ^c
• 关键词：Reactive pericarditis ; Neisseria meningitidis ; Meningococcal meningitis
• 刊名：The Brazilian Journal of Infectious Diseases
• 出版年：2016
• 出版时间：November-December 2016
• 年：2016
• 卷：20
• 期：6
• 页码：641-644
• 全文大小：739 K

文摘

Meningococcal meningitis is a well established potential fatal infection characterized by fever, headache, petechial rash, and vomiting in the majority of cases. However, protean manifestations including abdominal pain, sore throat, diarrhea and cough, even though rare, should not be overlooked. Similarly, although disseminated infection could potentially involve various organ-targets, secondary immune related complications including joints or pericardium should be dealt with caution, since they remain unresponsive to appropriate antibiotic regimens. We hereby report the rare case of an otherwise healthy adult female, presenting with acute abdominal pain masking Neisseria meningitidis serotype B meningitis, later complicated with recurrent reactive pericarditis despite appropriate antibiotic treatment. There follows a review of current literature.