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Meningococcemia, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Bacterial illness caused by Neisseria meningitidis

  • Several forms of illness may occur

  • Mild meningococcemia

  • Overwhelming meningococcal sepsis

  • Meningococcal meningitis

  • Chronic/occult mening...

Diagnosis

Signs and Symptoms

  • “Mild” meningococcemia:

    • Most common

    • Preceded by upper respiratory infection

    • Fever, chills, myalgias/arthralgias, malaise

    • Often self-limited, resolving in several days

    • Can progre...

Treatment

Pre-Hospital

Postexposure prophylaxis needed for pre-hospital personnel in close contact with patient 

Initial Stabilization/Therapy

  • Wear mask and gloves, observe droplet precautions.

  • Notify dep...

Follow-Up

Disposition

Admission Criteria

  • ICU admission for overwhelming sepsis with respiratory isolation

  • Respiratory isolation admission for mild meningococcemia

Discharge Criteria

Prophylaxis for close p...

Pearls and Pitfalls

  • Notify department of health in any suspected case.

  • Watch for late development of pericardial tamponade.

  • Do not wait to give antibiotics.

Additional Reading

  • Apicella  M. Neisseria meningitidis. In: Mandell  GL, Bennett  JE, Dolin  R, eds. Principles and Practice of Infectious Disease. 7th ed. Philadelphia, PA: Churchill Livingston Els...

Codes

ICD9

036.2 Meningococcemia 

ICD10

  • A39.2 Acute meningococcemia

  • A39.3 Chronic meningococcemia

  • A39.4 Meningococcemia, unspecified

SNOMED

  • 4089001 Meningococcemia (disorder)

  • 186365005 Acute meningococcemia

  • 24...

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