Meningococcemia without Meningitis in Japan
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概要
- 論文の詳細を見る
We report a case of meningococcemia without meningitis, which is a rare infectious disease in Japan. A 32-year-old woman was referred to our hospital with fever and joint pain. Her clinical presentation and the results of laboratory examination on admission suggested viral infection. However, her condition rapidly progressed to septic shock with fulminans purpura. Blood culture grew Neisseria meningitidis. She received antimicrobial therapy and underwent localized therapy for skin lesions. Meningococcal infection should be considered in patients who have fever along with skin rash or petechiae even when there are no signs of meningitis. In this report, we also review case reports of meningococcemia without meningitis in Japan.
著者
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Yoshida Masaki
Department Of 2nd Internal Medicine Jikei University School Of Medicine
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Ishiji Takaoki
Department Of Dermatology Jikei University Kashiwa Hospital
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HORINO Tetsuya
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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Sakamoto Mitsuo
Department Of Agricultural Chemistry Tokyo University Of Agriculture
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Onodera Shoichi
Department Of Infectious Disease And Infection Control The Jikei University School Of Medicine
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Watanabe Haruo
Department Of Bacteriology I National Institute Of Infectious Diseases
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Matsuo Koma
Department Of Dermatology Jikei University School Of Medicine
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Takahashi Hideyuki
Department Of Bacteriology National Institute Of Infectious Diseases
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Kato Tetsuro
Department Of Infectious Disease Jikei University School Of Medicine
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SATO Fumiya
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine
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NAKAZAWA Yasushi
Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine
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Kohda Masato
Department of Dermatology, The Jikei University School of Medicine
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Kato Tetsuro
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine, Japan
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Nakazawa Yasushi
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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Sato Fumiya
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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Kato Tetsuro
Department of Infectious Disease and Infection Control, The Jikei University School of Medicine
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