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Skin eruption and long-lasting fever in a young man
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  1. Marie Minet1,2,
  2. Nicolas Hanset3,
  3. Jean Cyr Yombi4,
  4. Halil Yildiz3
  1. 1Emergency medicine, Universite Catholique de Louvain, Bruxelles, Belgium
  2. 2Department of Pneumologie, Groupement Hospitalierde l'Ouest Lemanique S A, Nyon, Switzerland
  3. 4Department of Internal Medicine and Perioperative Medicine, Catholic University of Leuven, Brussels, Belgium
  4. 3Department of Medecine Interne, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium
  1. Correspondence to Dr Halil Yildiz, halil.yildiz{at}uclouvain.be, h_tur.bel{at}hotmail.com

https://doi.org/10.1136/bcr-2017-220552

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    Description

    A 20-year-old man presented to emergency room with a 3-week history of general weakness, fever, diffuse arthralgia and skin eruption. His medical history was unremarkable; he did not travel recently, had no contact with an ill person, nor had risky sexual behaviour and took no medication. Physical examination only showed a diffuse, non-painful, infracentimetric and non-confluent macular eruption over the trunks and limbs (figures 1 and 2). Blood test showed elevated C reactive protein and neutrophilic leucocytosis. Serologies for hepatitis C and B viruses, rubella, Epstein-Barr virus, cytomegalovirus, toxoplasmosis and HIV were negative. Urinalysis and chest X-ray were normal. Blood cultures became positive for Neisseria meningitidis, whereas skin biopsy only showed a dermic inflammatory polymorphic (lymphocytic and neutrophilic) infiltrate without specificity with negative aerobic and …

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