Brazilian Journal of Anesthesiology (Nov 2022)

Immunoadsorption therapy for a meningococcemia patient with myocarditis, adrenal hemorrhage, and purpura fulminans: a case report

  • Nihal Akcay,
  • Hasan Serdar Kihtir,
  • Guner Ozcelik,
  • Ulkem Kocoglu Barlas,
  • Mey Talip Petmezci,
  • Esra Sevketoglu

Journal volume & issue
Vol. 72, no. 6
pp. 819 – 822

Abstract

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Neisseria meningitidis, also known as meningococcus, is a relatively uncommon cause of invasive infection, but when it occurs, it is frequently severe and potentially life-threatening. A ten-year-old female patient developed a purpuric rash with fever. Upon arrival to the pediatric intensive care department, she was unconscious and in a poor general condition. We combined treatment with antibiotics, volume resuscitation, hydrocortisone, and CytoSorb.½ therapy resulted in a stabilization of hemodynamics, as well as control of hyperinflammation. We observed a significant decrease in vasopressor dosage in this patient.

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