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Pediatric Reports
Volume 8
Issue 4
10.4081/pr.2016.6613
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Case Report

An Unexpected Fever Post Serogroup B Meningococcal Sepsis

by
Daniele Donà
1,*,
Elisa Gnoato
2,
Carlo Giaquinto
1 and
Carlo Moretti
3
1
Pediatric Infectious Diseases Division
2
Pediatric Pulmonology and Allergy Division
3
Pediatric Diabetology Division, Department for Woman and Child Health, University of Padua, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2016, 8(4), 6613; https://doi.org/10.4081/pr.2016.6613
Submission received: 20 May 2016 / Revised: 20 October 2016 / Accepted: 24 October 2016 / Published: 17 November 2016

Abstract

This case report describes an invasive meningococcal group B infection followed by the development of Kawasaki disease (KD) complicated by macrophage activation syndrome (MAS) in a 2-year-old child. The presented case indicates the possible etiologic relationship between meningococcal sepsis and KD as support of bacterial toxin induced theory. It’s important to maintain a high grade of suspicious for KD in every relapse of fever also during convalescence phase of severe infection. Usually, initial treatment with intravenous immunoglobulin is sufficient to control the disease; but, in case of refractory KD complicated by MAS, corticosteroid therapy represents a good option inducing prompt fever resolution and clinical improvement.
Keywords: Neisseria meningitidis serogroup B; Kawasaki Diseases; Corticosteroid therapy macrophage activation syndrome Neisseria meningitidis serogroup B; Kawasaki Diseases; Corticosteroid therapy macrophage activation syndrome

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MDPI and ACS Style

Donà, D.; Gnoato, E.; Giaquinto, C.; Moretti, C. An Unexpected Fever Post Serogroup B Meningococcal Sepsis. Pediatr. Rep. 2016, 8, 6613. https://doi.org/10.4081/pr.2016.6613

AMA Style

Donà D, Gnoato E, Giaquinto C, Moretti C. An Unexpected Fever Post Serogroup B Meningococcal Sepsis. Pediatric Reports. 2016; 8(4):6613. https://doi.org/10.4081/pr.2016.6613

Chicago/Turabian Style

Donà, Daniele, Elisa Gnoato, Carlo Giaquinto, and Carlo Moretti. 2016. "An Unexpected Fever Post Serogroup B Meningococcal Sepsis" Pediatric Reports 8, no. 4: 6613. https://doi.org/10.4081/pr.2016.6613

APA Style

Donà, D., Gnoato, E., Giaquinto, C., & Moretti, C. (2016). An Unexpected Fever Post Serogroup B Meningococcal Sepsis. Pediatric Reports, 8(4), 6613. https://doi.org/10.4081/pr.2016.6613

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