Rasmussen L H, Andersen P L
Medicinsk-epidemisk afdeling A. Marselisborg Hospital, Arhus.
Ugeskr Laeger. 1991 Dec 16;153(51):3613-4.
Four cases of chronic meningococcacemia (CM) are described. The diagnosis was based on recurring fever, exanthema, arthralgia/arthritis and positive blood culture with Neisseria meningitidis. The meningococcal antibody-test (MAT) was positive in all of the three patients tested. None of the patients had positive throat culture for Neisseria meningitidis. All patients had leucocytosis during the febrile periods. The symptoms lasted for 5-150 days before the diagnosis was made. These findings are discussed in relation to the literature.
本文描述了4例慢性脑膜炎球菌血症(CM)病例。诊断依据为反复发热、皮疹、关节痛/关节炎以及脑膜炎奈瑟菌血培养阳性。在接受检测的3例患者中,脑膜炎球菌抗体检测(MAT)均呈阳性。所有患者的咽拭子培养均未发现脑膜炎奈瑟菌阳性。所有患者在发热期均出现白细胞增多。症状持续5 - 150天后方得以确诊。本文结合文献对这些发现进行了讨论。