Meningococcemia without Meningitis Complicated by Purpura Fulminans and Hearing Impairment: A Rare Case Report and Review of Literature / Meningococcemia sem Meningite Complicada por Purpura Fulminante e Deficiência Auditiva: Um Relato de Caso Raro e Revisão de Literatura

• Autor(a) principal: Carvalho, Luiza Amélia Marques Vinhal de
• Data de Publicação: 2020
• Outros Autores: Sanchez, Tarquino Erastides Gavilanes, Carvalho, Nathalia Marques Vinhal de, Carvalho, Carolina Marques Vinhal de, Silva, Marcela Seixas Maia da, Rocha, Matheus Borges, Alves, Lívia Gabriela Campos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Health Review
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/14261
• topic: Meningococcemia; meningococcemia complications; purpura fulminans; neisseria meningitidis; hearing impairment after meningitis.

Considered a rare disorder, meningococcemia without meningitis can affect previously healthy individuals and cause serious clinical impact. We describe a case of a 24 years-old previously health male patient with life-threatening meningococcemia presented as flu-like symptoms without meningeal irritation signs that was complicated by septic shock , purpura fulminans  and sensorineural hearing impairment..The diagnosis was confirmed by gram-staining films from petechial lesions, skin biopsy and blood cultures that returned positive for gram-negative diplococci, later identified as N. meningitidis serogroup C. Due to its potential irreversible consequences, an early recognition and adequate treatment is fundamental.Vaccination is the most successful and cost-effective public health interventions to prevent the disease.