the course of a invasive meningococcal disease in a patient of military age from specific prophylaxis (clinical case)
https://doi.org/10.22625/2072-6732-2020-12-2-161-168
Abstract
Meningococcal infection is an acute infectious disease caused by Neisseria meningitidis, characterized by a polymorphism of clinical manifestations from meningococcus carriage to invasive forms. They, in turn, pose a great danger to the patient’s life, since in most cases they have a severe course with the development of complications, fulminant course and high mortality. The success of treatment of invasive meningococcal disease largely depends on the timeliness of diagnosis and the timing of treatment initiation. The article describes a clinical case of a generalized form of severe meningococcal infection with a rapidly developing infectious toxic shock, disseminated intravascular coagulation syndrome in a soldier who had previously refused specific prophylaxis. Despite the mistakes made at the prehospital stage and, accordingly, late hospitalization, this case had a favorable outcome.
About the Authors
V. V. Sharabkhanov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
K. V. Zhdanov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
S. M. Zakharenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
N. I. Lvov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
K. V. Kozlov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
E. N. Koudelka
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
Yu. I. Lyashenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
K. S. Ivanov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
Yu. I. Bulankov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
A. N. Kovalenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
M. V. Yaremenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
V. A. Cheprakova
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
N. A. Kuvshinova
First Moscow State Medical University I.M. Sechenov
Russian Federation
Moscow
Russian Federation
Moscow
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Review
For citations:
Sharabkhanov V.V., Zhdanov K.V., Zakharenko S.M., Lvov N.I., Kozlov K.V., Koudelka E.N., Lyashenko Yu.I., Ivanov K.S., Bulankov Yu.I., Kovalenko A.N., Yaremenko M.V., Cheprakova V.A., Kuvshinova N.A. the course of a invasive meningococcal disease in a patient of military age from specific prophylaxis (clinical case). Journal Infectology. 2020;12(2):161-168. (In Russ.) https://doi.org/10.22625/2072-6732-2020-12-2-161-168
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