Immunoadsorption therapy for a meningococcemia patient with myocarditis, adrenal hemorrhage, and purpura fulminans: a case report
Brazilian Journal of Anesthesiology (English Edition), cilt.72, sa.6, ss.819-822, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 72 Sayı: 6
- Basım Tarihi: 2022
- Doi Numarası: 10.1016/j.bjane.2021.06.021
- Dergi Adı: Brazilian Journal of Anesthesiology (English Edition)
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.819-822
- Anahtar Kelimeler: Myocarditis, Purpura Fulminans, Plasmapheresis, Waterhouse-Friderichsen Syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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.