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  • Title: [Arthritis and purulent pericarditis as presenting form of sepsis caused by serogroup C meningococcus].
    Author: Martín-Juan JJ, Jiménez-Mejías ME, Cisneros JM, Ortiz-Leyba C, Pachón-Díaz J.
    Journal: Rev Clin Esp; 1989 Nov; 185(7):359-61. PubMed ID: 2623251.
    Abstract:
    Meningococcal sepsis is usually a severe disease with very varied clinical manifestations. In our surrounding the most frequently appearing Neisseria meningitidis belongs to serogroup B, and only 10.2% belongs to group C. Both arthritis and exudative pericarditis are described as late, independent complications of N. Meningitidis C infections. The coexistence of both arthritis and suppurative pericarditis caused by this organism is extremely rare. A case of sepsis due to serogroup C N. Meningitidis in a patient who developed a right shoulder arthritis followed by septic shock and purulent pericarditis is presented. The characteristics of arthritis and pericarditis as complications of the acute meningococcal infection are analyzed, emphasizing the rareness of the coappearance of both as a form of clinical manifestation, as well as the purulent characteristic in order to keep them in mind and facilitate a prompt diagnosis and appropriate treatment.
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