Meningococcemia without Meningitis Complicated by Purpura Fulminans and Hearing Impairment: A Rare Case Report and Review of Literature / Meningococcemia sem Meningite Complicada por Purpura Fulminante e Deficiência Auditiva: Um Relato de Caso Raro e Revisão de Literatura

Luiza Amélia Marques Vinhal de Carvalho, Tarquino Erastides Gavilanes Sanchez, Nathalia Marques Vinhal de Carvalho, Carolina Marques Vinhal de Carvalho, Marcela Seixas Maia da Silva, Matheus Borges Rocha, Lívia Gabriela Campos Alves


Considered a rare disorder, meningococcemia without meningitis can affect previously healthy individuals and cause serious clinical impact. We describe a case of a 24 years-old previously health male patient with life-threatening meningococcemia presented as flu-like symptoms without meningeal irritation signs that was complicated by septic shock , purpura fulminans  and sensorineural hearing impairment..The diagnosis was confirmed by gram-staining films from petechial lesions, skin biopsy and blood cultures that returned positive for gram-negative diplococci, later identified as N. meningitidis serogroup C. Due to its potential irreversible consequences, an early recognition and adequate treatment is fundamental.Vaccination is the most successful and cost-effective public health interventions to prevent the disease.


Meningococcemia, meningococcemia complications, purpura fulminans, neisseria meningitidis, hearing impairment after meningitis.

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