{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:53:43Z","timestamp":1747191223773,"version":"3.40.5"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:00:00Z","timestamp":1678233600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2023,3,8]]},"abstract":"<jats:p>Meningococcemia is the infection of the blood caused by Neisseria meningitidis. Herein, we report a case of meningococcemia in an 11\u2009months old infant who had a high-grade fever, nonblanching purpuric rash over the face and limbs, low blood pressure, tachycardia, and prolonged capillary refill time, but without neck rigidity and focal neurologic signs. He recovered after supportive care and treatment with antibiotics (intravenous ceftriaxone, vancomycin, and teicoplanin). Therefore, in a febrile, ill-looking child in shock with a nonblanching rash, meningococcal disease should be suspected. The study shows the importance of vaccination against meningococcal disease.<\/jats:p>","DOI":"10.1155\/2023\/8951318","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T20:20:05Z","timestamp":1678306805000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Meningococcemia in an 11\u2009Months Old Infant"],"prefix":"10.1155","volume":"2023","author":[{"given":"Rachana","family":"Shrestha","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Shree Birendra Hospital, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7199-7213","authenticated-orcid":true,"given":"Saurab","family":"Karki","sequence":"additional","affiliation":[{"name":"Military Hospital, Itahari, Sunsari, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0449-9254","authenticated-orcid":true,"given":"Manoj","family":"Khadka","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhail","family":"Sapkota","sequence":"additional","affiliation":[{"name":"Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9146-780X","authenticated-orcid":true,"given":"Bibek","family":"Timilsina","sequence":"additional","affiliation":[{"name":"Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4203-7077","authenticated-orcid":true,"given":"Sulochana","family":"Khadka","sequence":"additional","affiliation":[{"name":"Hospital for Advanced Medicine and Surgery, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/BCR-2018-226914"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/ADC.85.3.218"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.38968.683958"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.315.7111.774"},{"volume-title":"Disease and Epidemiology, Meningococcal Disease","author":"World Health Organizanization Eastern Mediterranean Regional Office","key":"5"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1056\/nejm200105033441807"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1136\/JCP.56.6.417"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(06)67932-4"},{"volume-title":"Vaccine and Vaccination, Meningococcal Disease","author":"World Health Organization Eastern Mediterranean Regional Office","key":"9"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2023\/8951318.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2023\/8951318.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2023\/8951318.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T20:20:08Z","timestamp":1678306808000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2023\/8951318\/"}},"subtitle":[],"editor":[{"given":"Mohd","family":"Adnan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,8]]},"references-count":9,"alternative-id":["8951318","8951318"],"URL":"https:\/\/doi.org\/10.1155\/2023\/8951318","relation":{},"ISSN":["2090-6633","2090-6625"],"issn-type":[{"type":"electronic","value":"2090-6633"},{"type":"print","value":"2090-6625"}],"subject":[],"published":{"date-parts":[[2023,3,8]]}}}