IPLab:Lab 13:Meningococcemia - Revision history

Peter Anderson: /* Clinical Summary */

2020-07-09T21:37:40Z

‎Clinical Summary

2020-07-09T21:37:06Z

‎Autopsy Findings

2013-08-30T01:50:35Z

‎Images

2013-08-26T15:56:55Z

‎Related IPLab Cases

2013-08-26T15:56:44Z

‎Images

2013-08-26T15:53:53Z

‎Journal Articles

2013-08-26T15:53:13Z

‎Reference

2013-08-23T04:28:40Z

2013-08-21T16:20:09Z

2013-08-21T14:44:31Z

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 == Clinical Summary ==
 This 20-month-old black female was active and without complaint until 4 p.m. on the evening prior to her death, when according to her mother she acted as if she did not feel well. The mother reported that the child had felt warm at bedtime (8 p.m.) so she had given her some acetaminophen. At midnight, the child was given another dose of acetaminophen. The child slept with her mother that night who reported last hearing her daughter make a sound at approximately 7:30 a.m. The mother checked in on her daughter at 8:45 a.m. and found her to be unresponsive. The girl was dead when paramedics arrived. Her past medical history was unremarkable and there had been no recent illness among other family members.
 == Images ==

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 == Clinical Summary ==
 This 20-month-old black female was active and without complaint until 4 p.m. on the evening prior to her death, when according to her mother she acted as if she did not feel well. The mother reported that the child had felt warm at bedtime (8 p.m.) so she had given her some acetaminophen. At midnight, the child was given another dose of acetaminophen. The child slept with her mother that night who reported last hearing her daughter make a sound at approximately 7:30 a.m. The mother checked in on her daughter at 8:45 a.m. and found her to be unresponsive. The girl was dead when paramedics arrived. Her past medical history was unremarkable and there had been no recent illness among other family members.
 == Images ==

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 === Images ===
-* [http://peir.path.uab.edu/library/index.php?/tags/2175-meningococcus PEIR Digital Library: Meningococcemia Images]
+* [{{SERVER}}/library/index.php?/tags/2175-meningococcus PEIR Digital Library: Meningococcemia Images]
-* [http://peir.path.uab.edu/library/index.php?/tags/2176-adrenal_hemorrhage PEIR Digital Library: Adrenal Hemorrhage Images]
+* [{{SERVER}}/library/index.php?/tags/2176-adrenal_hemorrhage PEIR Digital Library: Adrenal Hemorrhage Images]
 {{IPLab 13}}
 [[Category: IPLab:Lab 13]]

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 * [http://peir.path.uab.edu/library/index.php?/tags/2175-meningococcus PEIR Digital Library: Meningococcemia Images]
 * [http://peir.path.uab.edu/library/index.php?/tags/2176-adrenal_hemorrhage PEIR Digital Library: Adrenal Hemorrhage Images]
 {{IPLab 13}}
 [[Category: IPLab:Lab 13]]

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 === Images ===
+* [http://peir.path.uab.edu/library/index.php?/tags/2175-meningococcus PEIR Digital Library: Meningococcemia Images]
 == Related IPLab Cases ==

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 === Journal Articles ===
+* Leclerc F, Leteurtre S, Cremer R, Fourier C, Sadik A.  [http://www.ncbi.nlm.nih.gov/pubmed/11007200 Do new strategies in meningococcemia produce better outcomes?]  ''Crit Care Med'' 2000 Sep;28(9 Suppl):S60-3.
 === Images ===

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 == Additional Resources ==
 === Reference ===
+* [http://emedicine.medscape.com/article/221473-overview eMedicine Medical Library: Meningococcemia]
 === Journal Articles ===

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 * <spoiler text="What is the source of Neisseria meningitides?">Man is the only host. The organism lives in the nasopharynges of apparently unaffected individuals.</spoiler>
 * <spoiler text="What is the favorite site of growth of Neisseria meningitides during clinical illness?">Cerebrospinal fluid is the favorite site of growth for the bacteria and meningitis is the most common illness. Other sites include heart valves, pericardium, joints, and the lungs.</spoiler>
 {{IPLab 13}}
 [[Category: IPLab:Lab 13]]

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 File:IPLab13Meningococcemia8.jpg|This is a higher-power photomicrograph of a smear of cerebrospinal fluid taken at autopsy. Note the Gram-negative cocci in this smear, indicative of N. meningitidis.
 </gallery>
 {{IPLab 13}}
 [[Category: IPLab:Lab 13]]

← Older revision		Revision as of 14:44, 21 August 2013
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		+	== Clinical Summary ==
		+	This 20-month-old black female was active and without complaint until 4 p.m. on the evening prior to her death, when according to her mother she acted as if she did not feel well. The mother reported that the child had felt warm at bedtime (8 p.m.) so she had given her some acetaminophen. At midnight, the child was given another dose of acetaminophen. The child slept with her mother that night who reported last hearing her daughter make a sound at approximately 7:30 a.m. The mother checked in on her daughter at 8:45 a.m. and found her to be unresponsive. The girl was dead when paramedics arrived. Her past medical history was unremarkable and there had been no recent illness among other family members.
		+
		+	== Autopsy Findings ==
		+	External examination revealed multiple purpuric and ecchymotic cutaneous lesions, most notable in the inguinal areas. Microscopic examination of these skin lesions revealed thrombosis and rupture of small dermal vessels. There were scattered visceral petechial hemorrhages and both adrenal glands were grossly hemorrhagic. There was no gross or microscopic evidence of meningitis. However, a Gram stain of cerebrospinal fluid showed Gram-negative diplococci. Cultures were positive for Neisseria meningitides.
		+
	== Images ==		== Images ==
	<gallery heights="250px" widths="250px">		<gallery heights="250px" widths="250px">