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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Metropolitan W135 meningococcal compressive pericarditis treated with intrapericardial fibrinolysis
  1. Aude Garin,
  2. Florent Bavozet
  1. Department of Intensive Care, Centre Hospitalier Victor Jousselin, Dreux, France
  1. Correspondence to Dr Aude Garin, agarin{at}ch-dreux.fr

Summary

Meningococcal pericarditis is a rare but severe form of acute purulent pericarditis. It is a classic complication of Neisseria meningitidis of serotype W135, usually occurring in pilgrims to Mecca and their household contacts. This severe form of meningococcaemia is difficult to diagnose and evolves frequently and gradually towards a tamponade, requiring emergency drainage. We report a case of meningococcal pericarditis caused by N. meningitidis W135 in an immunocompetent patient, without any other organ involvement especially meningeal, requiring pericardium drainage in emergency and then intrapericardial fibrinolysis.

  • pericardial disease
  • meningitis
  • adult intensive care

https://doi.org/10.1136/bcr-2018-225080

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    Footnotes

    • Contributors AG and FB: served as study coordinators. FB: provided and cared for study patients. Both authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.