Faisant C, Cochin J P, Rapoport N, Evreux F, Vaschalde Y
Service de neurologie, centre hospitalier du Havre, 29, avenue Pierre-Mendès, 76290 Montivilliers, France.
Rev Neurol (Paris). 2012 Mar;168(3):287-90. doi: 10.1016/j.neurol.2011.08.014. Epub 2012 Jan 28.
Meningococcal disease can manifest in very different clinical situations. Meningococcal meningitis and fulminant meningococcemia (or purpura fulminans) are the most common forms of these infections, but many other manifestations can be seen including septic arthritis, pericarditis, pleurisy and conjunctivitis. Brain abscesses have also been described; they are a rare complication of meningococcal disease. We report the case of a 28-year-old immunocompetent patient who developed meningococcal infection associated with brain abscesses and oligo-arthritis.
脑膜炎球菌病可在非常不同的临床情况下表现出来。脑膜炎球菌性脑膜炎和暴发性脑膜炎球菌血症(或暴发性紫癜)是这些感染最常见的形式,但还可见到许多其他表现,包括化脓性关节炎、心包炎、胸膜炎和结膜炎。脑脓肿也有相关描述;它们是脑膜炎球菌病的一种罕见并发症。我们报告一例28岁免疫功能正常的患者,其发生了与脑脓肿和寡关节炎相关的脑膜炎球菌感染。