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Infection. 2011 Jun 25. [Epub ahead of print]
Favorable outcome after life-threatening meningococcal disease complicating influenza A(H1N1) infection.
Legriel S, Merceron S, Tattevin P, Mouvier MA, Marque-Juillet S, Le Monnier A, Bedos JP, Bruneel F.
Source
Intensive Care Unit, CH Versailles, Site Andr? Mignot, 177 rue de Versailles, 78150, Le Chesnay, France, slegriel@ch-versailles.fr.
Abstract
PURPOSE:
Neurological complications of influenza A(H1N1) have been reported in several patients since the onset of the pandemic in 2009. However, meningococcal disease complicating influenza A(H1N1) has not been reported.
PATIENTS:
Two patients were admitted to an intensive care unit (ICU) for altered mental status, fever, and rapidly spreading petechial purpura. They were diagnosed with meningococcal meningitis and/or meningococcemia and influenza A(H1N1) co-infection.
CONCLUSIONS:
Meningococcal disease presenting as meningitis and/or meningococcemia is among the potential complications of influenza A(H1N1) infection. Physicians should be aware of this co-infection, as it must be detected and treated promptly with antibiotics in addition to supportive care.
PMID:
21706225
[PubMed - as supplied by publisher]
Favorable outcome after life-threatening meningococcal disease complicating influenza A(H1N1) infection.
Legriel S, Merceron S, Tattevin P, Mouvier MA, Marque-Juillet S, Le Monnier A, Bedos JP, Bruneel F.
Source
Intensive Care Unit, CH Versailles, Site Andr? Mignot, 177 rue de Versailles, 78150, Le Chesnay, France, slegriel@ch-versailles.fr.
Abstract
PURPOSE:
Neurological complications of influenza A(H1N1) have been reported in several patients since the onset of the pandemic in 2009. However, meningococcal disease complicating influenza A(H1N1) has not been reported.
PATIENTS:
Two patients were admitted to an intensive care unit (ICU) for altered mental status, fever, and rapidly spreading petechial purpura. They were diagnosed with meningococcal meningitis and/or meningococcemia and influenza A(H1N1) co-infection.
CONCLUSIONS:
Meningococcal disease presenting as meningitis and/or meningococcemia is among the potential complications of influenza A(H1N1) infection. Physicians should be aware of this co-infection, as it must be detected and treated promptly with antibiotics in addition to supportive care.
PMID:
21706225
[PubMed - as supplied by publisher]
