Recrudescence and relapse of meningococcal meningitis and septicaemia

Acta Paediatr. 1995 Mar;84(3):342-5. doi: 10.1111/j.1651-2227.1995.tb13642.x.

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.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Anti-Bacterial Agents / therapeutic use*
  • Bacteremia / drug therapy*
  • Child, Preschool
  • Chloramphenicol / administration & dosage
  • Chloramphenicol / therapeutic use
  • Ciprofloxacin / administration & dosage
  • Ciprofloxacin / therapeutic use
  • Female
  • Follow-Up Studies
  • Humans
  • Hydrocortisone / administration & dosage
  • Hydrocortisone / therapeutic use
  • Infant
  • Injections, Intravenous
  • Male
  • Meningitis, Meningococcal / drug therapy*
  • Methylprednisolone / administration & dosage
  • Methylprednisolone / therapeutic use
  • Penicillin G / administration & dosage
  • Penicillin G / therapeutic use
  • Penicillin V / administration & dosage
  • Penicillin V / therapeutic use
  • Recurrence
  • Rifampin / administration & dosage
  • Rifampin / therapeutic use
  • Time Factors

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Chloramphenicol
  • Penicillin G
  • Rifampin
  • Hydrocortisone
  • Methylprednisolone
  • Penicillin V