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A case of acute pericarditis in a 2 1/2 year-old girl is reported. It appeared 3 days after the onset of a meningococcal meningitis which was favourably influenced by antibiotherapy. This pericarditis was immunologic in origin and disappeared within a few days with corticosteroid therapy. Differential diagnosis between purulent versus non suppurative acute pericarditis in patients with meningococcal bacteriemia is discussed.
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The case of a 17-month-old girl with fulminant meningococcemia is presented to illustrate the protean and fulminant course of the disease. Special attention is given to the meningococcal skin manifestation, with guidelines for its treatment.
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