MENINGOCOCCEMIA - 11/09/11

Doi : 10.1016/S0891-5520(05)70323-8

Mark B. Salzman, MD ^{^{*
From UCLA School of Medicine; and Kaiser Foundation Hospital–West Los Angeles, Los Angeles, California (MBS); and Albert Einstein College of Medicine; Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park; Long Island Campus for the Albert Einstein College of Medicine, Long Island, New York (LGR)}}, Lorry G. Rubin, MD ^{^{*
From UCLA School of Medicine; and Kaiser Foundation Hospital–West Los Angeles, Los Angeles, California (MBS); and Albert Einstein College of Medicine; Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park; Long Island Campus for the Albert Einstein College of Medicine, Long Island, New York (LGR)}}

Resumen

The prescription comes too late when the disease has gained strength by long delays.

OVID (43 BC–18AD)

REMEDIA ANORIS

Acquisition of the gram-negative diplococcus Neisseria meningitidis can result in asymptomatic pharyngeal colonization or invasive disease. Meningitis is the most common disease presentation and meningococcal septicemia, also called meningococcemia, is the most devastating form of meningococcal disease, with a high case-fatality rate. Meningococcemia is a medical emergency. Early recognition is essential so that appropriate antibiotic therapy and supportive care can be promptly instituted because irreversible shock and death may ensue within hours after the onset of symptoms. Meningococcal infections are contagious and household contacts of a patient should be treated with an antibiotic effective in eradicating mucosal carriage.

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Esquema

CLINICAL MANIFESTATIONS

DIAGNOSIS

PROGNOSTIC INDICATORS

TREATMENT

PRIMARY PREVENTION BY IMMUNIZATION

SECONDARY PREVENTION

CONCLUSION

Corresponding author Lorry G. Rubin, MD, Division of Infectious Diseases, Schneider Children's Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040