Fatal Waterhouse-Friderichsen syndrome due to Neisseria meningitidis group B in a paediatric patient during the phone consultation era
Owing to uncharacteristic initial symptoms and rapid progression, invasive meningococcal disease is still a challenge to diagnose and treat, even in high-income countries. Waterhouse-Friderichsen syndrome is a potentially fatal complication of invasive meningococcal disease, presenting as acute adre...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2023-03-01
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| Series: | Pediatria Polska |
| Subjects: | |
| Online Access: | https://www.termedia.pl/Fatal-Waterhouse-Friderichsen-syndrome-due-to-Neisseria-r-nmeningitidis-group-B-in-a-paediatric-patient-during-r-nthe-phone-consultation-era,127,50139,1,1.html |
| _version_ | 1797215342850736128 |
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| author | Marta Serafin Ewa Czerwińska Marian Koźbiał Mariusz Leszczyński Leszek Szenborn |
| author_facet | Marta Serafin Ewa Czerwińska Marian Koźbiał Mariusz Leszczyński Leszek Szenborn |
| author_sort | Marta Serafin |
| collection | DOAJ |
| description | Owing to uncharacteristic initial symptoms and rapid progression, invasive meningococcal disease is still a challenge to diagnose and treat, even in high-income countries. Waterhouse-Friderichsen syndrome is a potentially fatal complication of invasive meningococcal disease, presenting as acute adrenal insufficiency due to haemorrhagic necrosis of the adrenal glands. We report a case of 5.5-year-old boy who presented to the hospital with fever, impaired consciousness, vomiting, and upper respiratory tract infection symptoms. Despite prompt diagnosis of invasive disease and adequate treatment, the patient died. We underline the need to increase parents’ knowledge and better access to vaccines against meningococci for Polish paediatric patients. Paediatricians and primary care physicians must remain alert and be ready to suspect invasive meningococcal disease in their patients. |
| first_indexed | 2024-04-24T11:28:33Z |
| format | Article |
| id | doaj.art-24f0e2828ad64a558020415134c3ab88 |
| institution | Directory Open Access Journal |
| issn | 0031-3939 2300-8660 |
| language | English |
| last_indexed | 2024-04-24T11:28:33Z |
| publishDate | 2023-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Pediatria Polska |
| spelling | doaj.art-24f0e2828ad64a558020415134c3ab882024-04-10T12:40:19ZengTermedia Publishing HousePediatria Polska0031-39392300-86602023-03-01981747810.5114/polp.2023.12506350139Fatal Waterhouse-Friderichsen syndrome due to Neisseria meningitidis group B in a paediatric patient during the phone consultation eraMarta SerafinEwa CzerwińskaMarian KoźbiałMariusz LeszczyńskiLeszek SzenbornOwing to uncharacteristic initial symptoms and rapid progression, invasive meningococcal disease is still a challenge to diagnose and treat, even in high-income countries. Waterhouse-Friderichsen syndrome is a potentially fatal complication of invasive meningococcal disease, presenting as acute adrenal insufficiency due to haemorrhagic necrosis of the adrenal glands. We report a case of 5.5-year-old boy who presented to the hospital with fever, impaired consciousness, vomiting, and upper respiratory tract infection symptoms. Despite prompt diagnosis of invasive disease and adequate treatment, the patient died. We underline the need to increase parents’ knowledge and better access to vaccines against meningococci for Polish paediatric patients. Paediatricians and primary care physicians must remain alert and be ready to suspect invasive meningococcal disease in their patients.https://www.termedia.pl/Fatal-Waterhouse-Friderichsen-syndrome-due-to-Neisseria-r-nmeningitidis-group-B-in-a-paediatric-patient-during-r-nthe-phone-consultation-era,127,50139,1,1.htmlbacterial meningitis preventive vaccinations invasive meningococcal disease waterhouse-friderichsen syndrome |
| spellingShingle | Marta Serafin Ewa Czerwińska Marian Koźbiał Mariusz Leszczyński Leszek Szenborn Fatal Waterhouse-Friderichsen syndrome due to Neisseria meningitidis group B in a paediatric patient during the phone consultation era Pediatria Polska bacterial meningitis preventive vaccinations invasive meningococcal disease waterhouse-friderichsen syndrome |
| title | Fatal Waterhouse-Friderichsen syndrome due to Neisseria
meningitidis group B in a paediatric patient during
the phone consultation era |
| title_full | Fatal Waterhouse-Friderichsen syndrome due to Neisseria
meningitidis group B in a paediatric patient during
the phone consultation era |
| title_fullStr | Fatal Waterhouse-Friderichsen syndrome due to Neisseria
meningitidis group B in a paediatric patient during
the phone consultation era |
| title_full_unstemmed | Fatal Waterhouse-Friderichsen syndrome due to Neisseria
meningitidis group B in a paediatric patient during
the phone consultation era |
| title_short | Fatal Waterhouse-Friderichsen syndrome due to Neisseria
meningitidis group B in a paediatric patient during
the phone consultation era |
| title_sort | fatal waterhouse friderichsen syndrome due to neisseria meningitidis group b in a paediatric patient during the phone consultation era |
| topic | bacterial meningitis preventive vaccinations invasive meningococcal disease waterhouse-friderichsen syndrome |
| url | https://www.termedia.pl/Fatal-Waterhouse-Friderichsen-syndrome-due-to-Neisseria-r-nmeningitidis-group-B-in-a-paediatric-patient-during-r-nthe-phone-consultation-era,127,50139,1,1.html |
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