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Case Reports
. 2016;21(12).
doi: 10.2807/1560-7917.ES.2016.21.12.30175.

Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016

Helen Campbell  1 , Sydel R Parikh, Ray Borrow, Ed Kaczmarski, Mary E Ramsay, Shamez N Ladhani
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Free article
Case Reports

Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016

Helen Campbell et al. Euro Surveill. 2016.
Free article

Abstract

Atypical clinical presentations associated with group W meningococcal disease (MenW) are well-described and include pneumonia, septic arthritis, endocarditis and epiglottitis/supraglottitis. Following anecdotal reports of teenagers presenting with predominantly gastrointestinal symptoms, we undertook a case review of MenW cases in 15 to 19 year-olds diagnosed in England between July 2015 and January 2016. Of the 15 cases, seven presented with a short history of nausea, vomiting and diarrhoea; five of these seven cases died within 24 hours of presentation to hospital.

Keywords: IMD; MenW disease; diarrhoea; gastroenteritis; invasive meningococcal disease.

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