meningococcemia…

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meningococcal septicemia, meningococcal blood poisoning, meningococcal bacteremia, bacterial, in the blood, meningococcemia, acute, sudden onset, infection, the bloodstream, subsequent vasculitis, inflammation, the blood vessels, bacteria neisseria meningitidis, neisseria meningitidis frequently lives, in the upper respiratory tract, no evidence of illness, event is thought to trigger the onset of aggressive behavior, the organism, sporadic cases of meningococcemia, meningococcal meningitis appear, family members, closely exposed to an infected individual, at increased risk, infection occurs more frequently in winter, early spring, transmitted from person-to-person by respiratory droplets, symptoms very few at, fever, petechial, spotty red, purple, rash, irritability, appears anxious, later symptoms, signs, appears acutely ill, changing level of consciousness, shock, large areas of hemorrhage, thrombosis under the skin, cbc, differential, blood culture, gram stain of positive culture, skin biopsy, gram stain, urinalysis, clotting studies, pt, ptt, patients, admitted, intensive care unit, the hospital, intensive monitoring, supportive measures, shock, iv fluids, ventilatory support, medical support of blood pressure, medications include intravenous, iv, antibiotics to eliminate the infection, high doses of corticosteroids, shock, must be given early, clotting factors, platelet replacement needed, bleeding disorders develop, treatments, wound care, thrombosed, blood clots, areas of skin, respiratory isolation, first 24 hours, to avoid spread to other patients, early treatment results, good outcome, shock develops, outcome is more guarded, profound shock, dic, a severe bleeding disorder, adrenal collapse all predispose the patient to a poor prognosis, possibility of a death, patients, meningitis tend to have a poorer prognosis, profound shock, limb loss secondary to clots, thrombosis, irreversible shock, disseminated intravascular coagulopathy, dic, waterhouse-friderichsen syndrome, arthritis, cutaneous vasculitis, inflammation of blood vessels, in the skin, pericarditis, child has symptoms suggestive of meningococcemia, prophylaxis, preventive antibiotics, family members, contacts, speak, option, a vaccine that covers some but not all strains of meningococcus is available, has been suggested, use by college students, should discuss the appopriate use of this vaccine, health care provider.