Atypical course of generalized meningococcal infection



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The article describes a clinical case of generalized meningococcal infection that developed in an almost healthy 43-year-old man. The infection was caused by atypical Neisseria meningitidis and occurred in the form of fulminant sepsis with shock, gastroenteritis syndrome and severe abdominal syndrome without hemorrhagic rash and meningeal signs. Meningitis was detected by pathomorphological examination of brain tissue. The disease proceeded at lightning speed; the patient was refractory to the therapy. Death occurred 18 hours after the onset of the disease.

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Nelli Nikolaeva

1Kazan State Medical University, Kazan, Russian Federation

编辑信件的主要联系方式.
Email: Irinanicolaeva@mail.ru
ORCID iD: 0000-0003-0104-5895
Scopus 作者 ID: 7006063599

Holder of Habilitation degree in Medicine, Senior lecturer, Head of the Department of Infectious Diseases.

俄罗斯联邦, 420012, Казань, улица Бутлерова, д. 49

Nelli Galeeva

1Kazan State Medical University, Kazan, Russian Federation;
Republican Bureau of Forensic Medical Examination, Kazan, Russian Federation

Email: nelli_04@mail.ru
ORCID iD: 0000-0001-5080-6529
SPIN 代码: 8921-4689

Cand. Sci. (Med.)Departments of Infectious Diseases

俄罗斯联邦, 49 Butlerova Str., 420012 Kazan;83 Pobedy Avenue

Adelya SHarafutdinova

Republican Bureau of Forensic Medical Examination, Kazan, Russian Federation

Email: Adeliasudmed@mail.ru
ORCID iD: 0000-0002-2637-9982

The doctor is a forensic medical expert

俄罗斯联邦, Kazan, Russia 420029. Sibirskiy trakt 31a

Ilyuza . Gimadieva

A.F. Agafonov Republican Clinical Infectious Diseases Hospital, Kazan, Russian Federation

Email: ilyuza_gimadiyeva@mail.ru
ORCID iD: 0009-0000-3524-9250

Laboratory technician

俄罗斯联邦, 83 Pobedy Avenue, Kazan

Liliya Gajnutullina

A.F. Agafonov Republican Clinical Infectious Diseases Hospital, Kazan, Russian Federation

Email: g-lilya@mail.ru
ORCID iD: 0000-0002-8124-5880

infectious disease specialist

俄罗斯联邦, 83 Pobedy Avenue, Kazan

Anna. . Pirogova

Kazan State Medical University, Kazan, Russian Federation

Email: pirogovvaana1409@gmail.com
ORCID iD: 0009-0001-0427-2869
SPIN 代码: 8558-9920

 
 

 

49 Butlerova Str., 420012 Kazan, Russia:

Zilya Salahova,

Kazan State Medical University, Kazan, Russian Federation

Email: zilya.salakhova@mail.ru
ORCID iD: 0009-0000-3565-7844

 
 
 
俄罗斯联邦, 49 Butlerova Str., 420012 Kazan

参考

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  5. Bertrand-Gerentes I., Fanchon L., Coste F., et al. Range of Clinical Manifestations Caused by Invasive Meningococcal Disease Due to Serogroup W. A Systematic Review. Infect Dis Ther. 2023; 12 (10): 2337–2351. doi: 10.1007/s40121-023-00869-z.
  6. Cinzerling V.A., Suhanova YU.V., Gusev D.A. An unusual course of meningococcal infection with a fatal outcome (brief report). Journal of Infectology. 2023; 15(2): 165-166. (In Russ) doi.org/10.22625/2072-6732-2023-15-2-165-166
  7. Karistha Ganesh, Mushal Allam, Mushal Allam, et.al. Molecular characterization of invasive capsule null Neisseria meningitidis in South Africa. BMC Microbiol. 2017; 17(1): 40. doi: 10.1186/s12866-017-0942-5
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  9. Dmitrieva T.G., Kozhuhova ZH.V., Suzdalova V.P., et al. Atypical course of generalized meningococcal infection of serotype W in young children. Bulletin of the Northeastern Federal University named after M.K. Ammosovaseria "Medical sciences".2024; 37(4): 26-34. (In Russ) doi: 10.25587/2587-5590-2024-4-26-34.
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  12. Brusletto B.S., Hellerud B.C., Øvstebø R., et.al. Neisseria meningitidis accumulate in large organs during meningococcal sepsis. Front Cell Infect Microbiol. 2023; 28(13):1298360. doi: 10.3389/fcimb.2023.1298360.
  13. Pedersen M.Ø., Pedersen D.S., Pedersen M., Penkowa M. Neisseria meningitidis. Lipopolysakkariders patofysiologiske rolle ved meningokoksygdom og septisk shock. Ugeskr Laeger. 2008; 170(6): 421–426.
  14. Akaishi T, Kobayashi J, Abe M, et.al. Sensitivity and specificity of meningeal signs in patients with meningitis. J Gen Fam Med. 2019; 20(5):193-198. doi: 10.1002/jgf2.268.
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