Meningococcal pericarditis caused by the MenW:cc11 strain in an older adult.

IF 1.6 4区医学 Q2 Medicine

Acta Clinica Belgica Pub Date : 2023-06-01 DOI:10.1080/17843286.2022.2107315

Gaëlle Moerman, D Verleyen, Ph Rogiers, J Hoste, W Mattheus, K Floré

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引用次数: 0

Abstract

Introduction: Invasive meningococcal disease (IMD) caused by Neisseria meningitidis is a disease with a high mortality and morbidity rate. Serogroup W meningococci (MenW) used to be associated with sporadic disease worldwide. In recent years, a surge in MenW incidence is being observed.

Report: An older adult presenting with acute onset shortness of breath, chest pain and fever, was diagnosed with pericarditis with meningococcemia due to MenW:ST11 strain. MenW infections are reported to have a higher case fatality rate and atypical clinical presentations: MenW has been identified in patients presenting with pneumonia, gastro-intestinal symptoms, arthritis, and pericarditis.

Discussion: In Belgium, the National Reference Laboratory is also noticing an increase in serogroup Wmeningococcal disease. Recent epidemiological data for Belgium is reported in the article. MenW infections are reported to have a higher case fatality rate and atypical clinical presentations: MenW has been identified in patients presenting with pneumonia, gastro-intestinal symptoms, arthritis, and pericarditis.

Conclusion: When factors for poor prognosis are present in patients with pericarditi clinicians should be vigilant and search for the underlying aetiology .

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老年人脑膜炎球菌性心包炎由MenW:cc11菌株引起。

简介:由脑膜炎奈瑟菌引起的侵袭性脑膜炎球菌病(IMD)是一种死亡率和发病率都很高的疾病。血清W型脑膜炎球菌(MenW)过去与世界范围内的散发疾病有关。近年来，观察到妇女发病率激增。报告:一名老年人急性发作呼吸短促、胸痛和发烧，被诊断为心包炎合并脑膜炎球菌血症，由MenW:ST11菌株引起。据报道，MenW感染具有较高的病死率和非典型临床表现:MenW已在出现肺炎、胃肠道症状、关节炎和心包炎的患者中被发现。讨论:在比利时，国家参考实验室也注意到血清群脑膜炎球菌病的增加。文章中报告了比利时最近的流行病学数据。据报道，MenW感染具有较高的病死率和非典型临床表现:MenW已在出现肺炎、胃肠道症状、关节炎和心包炎的患者中被发现。结论:当心包炎患者存在不良预后因素时，临床医生应提高警惕，寻找潜在的病因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Clinica Belgica 医学-医学：内科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.