Menningococcemia

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The Correct answer is B. 5 year old boy with meningismus, shock and diffuse cutaneous petechial hemorrhages

Menningococcemia --
    Meningococcal Vaccines: Methods and Protocols (Methods in Molecular Medicine, 66) (Methods in Molecular Medicine)
  • intravascular multiplication of N. meningitidis in the blood can result in a petechial rash (minute hemorrhagic spots the size of a pin that do not blanch when pressed).
  • The rash can enlarge if the organisms multiply in the blood to the leading to fulminant meningoccemia (Waterhouse-Friderichsen syndrome--bilateral hemorrhage into the adrenals).

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