Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016

Helen Campbell, Sydel R Parikh, Ray Borrow, Ed Kaczmarski, Mary E Ramsay, Shamez N Ladhani
2016 Eurosurveillance  
Atypical clinical presentations associated with group W meningococcal disease (MenW) are well-described and include pneumonia, septic arthritis, endocarditis and epiglottitis/supraglottitis. Following anecdotal reports of teenagers presenting with predominantly gastrointestinal symptoms, we undertook a case review of MenW cases in 15 to 19 year-olds diagnosed in England between July 2015 and January 2016. Of the 15 cases, seven presented with a short history of nausea, vomiting and diarrhoea;
more » ... ve of these seven cases died within 24 hours of presentation to hospital.
doi:10.2807/ pmid:27035055 fatcat:c7swztfmangjdantekj52nvw2m