Muhammad Shahid Aziz, Kamran Mehmood, Uzair Sahoo.
A case of meningococcaemia with deafness.
Pak Armed Forces Med J Jan ;59(3):247-8.

Nisseria meningitidis is the second most common cause of community-acquired adult bacterial meningitis [1]. The clinical manifestations of meningococcal disease can be quite varied, ranging from transient fever and bacteremia to fulminant disease with death ensuing within hours of the onset of clinical symptoms. It is the most common cause of meningitis associated with septicemia [2]. Acute systemic meningococcal disease is most frequently manifest by three syndromes, Meningitis, Meningitis with accompanying meningococcemia and Meningococcemia without clinical evidence of meningitis. Because of the trend for endemic meningococcal infection to occur during the late winter when concurrent influenza virus is in the community, many cases of meningococcal disease are mistaken initially for severe "flu." It is also not uncommon for other cases to have been reported in the region or for the patient to have been a contact of a previously diagnosed case.

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