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Correspondence
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Volume 345:699-700 August 30, 2001 Number 9
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Meningococcal Disease

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To the Editor: Rosenstein et al. (May 3 issue)1 mention infectious syndromes associated with meningococcal disease. We would like to draw attention to the importance of considering meningococcal disease in patients who present with septic arthritis and rash.

A 20-year-old heterosexual man presented with a painful, swollen left knee. There were no other symptoms. His last sexual contact had involved unprotected intercourse with a casual female partner two years earlier. On examination he was afebrile, with a swollen, inflamed left knee and a vasculitic rash on his legs and arms. The white-cell count was 19.9x109 per liter; knee . . . [Full Text of this Article]

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