Abstract
Three cases of recrudescence and relapse of Neisseria meningitidis group B meningitis and septicaemia are reported. The recrudescence and relapses could not be explained by infectious foci, increased bacterial penicillin resistance or immunological defects. As a supplement to antibiotic treatment, all three patients received corticosteroids for the initial 2 days of treatment, and this may have contributed to the unusual course of the disease in our patient.
MeSH terms
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Administration, Oral
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Anti-Bacterial Agents / therapeutic use*
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Bacteremia / drug therapy*
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Child, Preschool
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Chloramphenicol / administration & dosage
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Chloramphenicol / therapeutic use
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Ciprofloxacin / administration & dosage
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Ciprofloxacin / therapeutic use
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Female
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Follow-Up Studies
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Humans
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Hydrocortisone / administration & dosage
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Hydrocortisone / therapeutic use
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Infant
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Injections, Intravenous
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Male
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Meningitis, Meningococcal / drug therapy*
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Methylprednisolone / administration & dosage
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Methylprednisolone / therapeutic use
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Penicillin G / administration & dosage
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Penicillin G / therapeutic use
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Penicillin V / administration & dosage
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Penicillin V / therapeutic use
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Recurrence
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Rifampin / administration & dosage
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Rifampin / therapeutic use
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Time Factors
Substances
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Anti-Bacterial Agents
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Ciprofloxacin
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Chloramphenicol
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Penicillin G
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Rifampin
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Hydrocortisone
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Methylprednisolone
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Penicillin V