Brasier AR, Macklis JD, Vaughan D, Warner L, Kirshenbaum JM.
1987.
Myopericarditis as an initial presentation of meningococcemia. Unusual manifestation of infection with serotype W135.
The American journal of medicine.
82(3 Spec No):641-4.
Pubmed: 3103444
Acute meningococcemia is a dramatic clinical syndrome from infection with the gram-negative diplococcus, Neisseria meningitidis. Although pericarditis may complicate the course of meningococcemia, it is distinctly unusual as a presenting sign. A case of disseminated meningococcemia presenting as acute myopericarditis is reported. The serotype isolated, type W135, was a sporadic cause of N. meningitidis in the Boston area. Although the patient had meningitis, bacteremia, and myopericarditis, his course was uncomplicated with early institution of antibiotic therapy.