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Images in Clinical Medicine
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Volume 336:707 March 6, 1997 Number 10
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Meningococcemia

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Figure 1. A 14-year-old boy with a four-year history of systemic lupus erythematosus (controlled by daily treatment with 5 mg of prednisone) reported feeling weak and warm and subsequently began to have abdominal pain and vomiting. The next morning, because of fever and malaise, he was taken to the emergency department, where he was found to be hypotensive, with cool, cyanotic hands and feet. Neither petechiae nor purpura was present; no meningismus was noted. The white-cell count was 4400 per cubic millimeter (37 percent segmented cells, 17 percent band forms, 3 percent metamyelocytes, 1 percent myelocytes, 35 percent lymphocytes, . . . [Full Text of this Article]

 

Related Letters:

Predispositions to Meningococcemia
Bansal A. S.
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N Engl J Med 1997; 337:204, Jul 17, 1997. Correspondence

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