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Meningococcal infections associated with febrile purpura among children hospitalized in a Moroccan Hospital: incidence and associated clinical factors.

Abstract Febrile purpura (FP) is suggestive of meningococcal disease, requiring almost always further investigations and a treatment based on broad spectrum antibiotics. This study aimed to determine the incidence of meningococcal infections as well as their associated clinical signs in children with febrile purpura hospitalized in the emergency department.
PMID
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Authors

Mayor MeshTerms
Keywords

Purpura

children

fever

infection

meningococcal

Journal Title the pan african medical journal
Publication Year Start




PMID- 29515741
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - [Meningococcal infections associated with febrile purpura among children
      hospitalized in a Moroccan Hospital: incidence and associated clinical factors].
PG  - 123
LID - 10.11604/pamj.2017.28.123.6089 [doi]
AB  - Introduction: Febrile purpura (FP) is suggestive of meningococcal disease,
      requiring almost always further investigations and a treatment based on broad
      spectrum antibiotics. This study aimed to determine the incidence of
      meningococcal infections as well as their associated clinical signs in children
      with febrile purpura hospitalized in the emergency department. Methods: We
      conducted a descriptive, retrospective study in the pediatric emergency
      department at the Children's Hospital of Casablanca over a period of 3 years. The
      hospitalized children with FP who had undergone bloodculture, whether or not
      associated with lumbar puncture, were included in the study. Statistical analysis
      was performed using SPSS v.16 software. Results: We enrolled 96 children, 49 boys
      and 47 girls. The average age was 53.3 +/- 40.5 months. Mean body temperature was
      38.9 degrees C. Meningococcal infection was diagnosed in 35/96 children. The
      diagnosis of meningococcemia was retained in 22 children, associated with
      meningitis in four patients. Symptoms and physical signs significantly associated
      with meningococcal infection included lethargy (p = 0.04), convulsions (p = 0.01)
      and purpura occurring outside the skin area drained by the superior vena cava (p 
      = 0.01). Conclusion: FP occurring outside the skin area drained by the superior
      vena cava or associated with convulsions is srongly related to meningococcal
      infection, whose incidence seems to be high among Moroccan children.
FAU - Gueddari, Widad
AU  - Gueddari W
AD  - Service d'Accueil des Urgences Pediatriques, Hopital d'Enfants Abderrahim
      Harouchi, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc.
FAU - Sabri, Hayat
AU  - Sabri H
AD  - Service d'Accueil des Urgences Pediatriques, Hopital d'Enfants Abderrahim
      Harouchi, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc.
FAU - Chabah, Meryem
AU  - Chabah M
AD  - Service d'Accueil des Urgences Pediatriques, Hopital d'Enfants Abderrahim
      Harouchi, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc.
LA  - fre
PT  - Journal Article
TT  - Infections a meningocoque lors de purpura febrile chez l'enfant dans un hopital
      marocain: incidence et facteurs cliniques associes.
DEP - 20171010
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Bacteremia/diagnosis/drug therapy/*epidemiology
MH  - Child
MH  - Child, Preschool
MH  - Emergency Service, Hospital
MH  - Female
MH  - Fever/epidemiology/*etiology
MH  - Hospitalization
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Male
MH  - Meningococcal Infections/diagnosis/drug therapy/*epidemiology
MH  - Morocco/epidemiology
MH  - Purpura/epidemiology/*etiology
MH  - Retrospective Studies
MH  - Seizures/epidemiology/etiology
MH  - Spinal Puncture
PMC - PMC5837170
OTO - NOTNLM
OT  - Purpura
OT  - children
OT  - fever
OT  - infection
OT  - meningococcal
EDAT- 2018/03/09 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/09 06:00
PHST- 2015/01/07 00:00 [received]
PHST- 2017/07/03 00:00 [accepted]
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - 10.11604/pamj.2017.28.123.6089 [doi]
AID - PAMJ-28-123 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 10;28:123. doi: 10.11604/pamj.2017.28.123.6089.
      eCollection 2017.