Meningococcemia presenting as septic arthritis, pericarditis, and tenosynovitis

A new classification for pericarditis associated with meningococcal infection

“…The eusions are usually serous and sterile [42], resembling post-viral pericarditis. There are often other foci of aseptic in¯ammation, such as pleura, joints and skin [14,36,42,46,47]. RMP is rare in children, probably because of the weaker immune response in children and the need for preliminary exposure to the pathogen, though one case in a 7-month-old baby has been reported [37].…”

“…Meningococcus accounts for 6%±16% of all cases of purulent pericarditis, following Staphylococcus, Pneumococcus and Streptococcus [5,11,17,46]. The incidence of acute pericarditis complicating meningococcal infections varies throughout the world, with ®gures ranging between 0% and 19% [10,26,32,49,50].…”

Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review

“…Twelve (60%) patients had more then one manifestation of IAC. Pleuritis presented on median day 4 (range 3-15), arthritis on day 7 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), and vasculitis on day 11 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Arthritis/arthralgia involved the knee joint in ten cases (55%), the ankle in five cases (27.7%), and the elbow in two (11%).…”

Meningococcal pericarditis in a 2‐year‐old child: Reactive or infectious?

“…Bacterial pericarditis has declined since the introduction of antibiotics, but still carries a mortality of up to 20% 7 . Meningococcus accounts for 6–16% of all cases of bacterial pericarditis with other pathogens, including staphylococcus, streptococcus and pneumococcus 8–11 …”