Document Detail

A complicated simple fall--an atypical case of serogroup Y meningococcal pneumonia with secondary septicaemia and literature review.
MedLine Citation:
PMID:  22604203     Owner:  NLM     Status:  MEDLINE    
An elderly lady was admitted for pain management and rehabilitation following a fall. During her stay she developed a new heart murmur and sepsis. Subacute bacterial endocarditits was excluded, empirical ciprofloxacin was initiated and later converted to aztreonam with gentamicin for clinical deterioration. Subsequent investigations revealed meningococcal Y septicaemia secondary to pneumonia, with a possible oropharynx focus. Upon discharge she had returned to baseline state. The case reflects an unusual and increasing cause of pneumonia. A steady increase of infective serogroup Y isolates over the past 12-years in England, with tendency towards elderly makes it a significant differential among the general medical population. This trend corresponds with the US, but is yet unknown whether to be a periodic cycle or true change in dominance and, or, virulence among serogroups. If the latter were true, it would support the inclusion of serogroups beyond menigitides C in the vaccination program.
B K Y Chan; S Kudsk-Iversen; S Balaguruswamy; T S Purewal
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2012-04-04
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  2013-02-12     Revised Date:  2014-04-15    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Accidental Falls*
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Diagnosis, Differential
Diagnostic Imaging
Meningococcal Infections / diagnosis*,  drug therapy
Meningococcal Vaccines
Pneumonia, Bacterial / diagnosis*,  drug therapy,  microbiology*
Sepsis / diagnosis*,  drug therapy
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Meningococcal Vaccines

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