Department of Pediatric Disciplines, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Room no. 218, PO: Mawdiangdiang, Shillong, Meghalaya 793018, India.
Rheumatol Int. 2013 Jan;33(1):231-3. doi: 10.1007/s00296-010-1555-6. Epub 2010 Jul 24.
The convalescence phase of severe meningococcal sepsis is complicated by immune complex reactions with arthritis being the commonest. No standard guidelines exist for management of such complications, but non-steroidal anti-inflammatory drugs and steroids have been used with varying success. We report excellent response to intravenous immunoglobulin in a child with immune complex reaction following meningococcal sepsis.
脑膜炎球菌败血症的恢复期会出现免疫复合物反应,关节炎是最常见的并发症。目前还没有针对此类并发症的标准管理指南,但已使用非甾体抗炎药和类固醇治疗,疗效不一。我们报告了一例儿童在脑膜炎球菌败血症后发生免疫复合物反应,静脉注射免疫球蛋白治疗效果极好。