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Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review Goedvolk CA; von Rosenstiel IA; Bos APArch Dis Child 2003[Oct]; 88 (10): 927-30AIM: To determine the incidence of immune complex associated complications (IAC) after severe meningococcal disease (SMD) in a group of Dutch children admitted to a paediatric intensive care unit (PICU). METHODS: Retrospective chart analysis and follow up of 130 survivors of SMD admitted to PICU. Signs of IAC, inflammatory parameters, and temperature profile were reviewed. RESULTS: Of 130 children with SMD, 20 (15.3%) showed one or more of the three manifestations of IAC: 18 (13.8%) developed arthritis (effusion, with or without erythema/arthralgia), 11 (8.4%) vasculitis, and five (3.8%) pleuritis. Eighteen of 20 (90%) patients with IAC had a secondary rise in temperature; in patients with no IAC this was 48 of 110 (43.6%). IAC was associated with leucocytosis in 82.3% versus 47.7% in patients without IAC, and with increased CRP in 86.6% versus 47.2% in patients without IAC. Leucocytes on admission were significantly lower in patients who would later develop IAC (mean 8.6 versus 13.8x10(9)/l). CONCLUSION: IAC is a common complication of SMD, mainly occurring 4-10 days after systemic disease. IAC presents clinically as arthritis or vasculitis, mostly accompanied by secondary fever and raised inflammatory parameters.|Adolescent[MESH]|Arthritis, Reactive/immunology[MESH]|Child[MESH]|Child, Preschool[MESH]|Female[MESH]|Fever/complications[MESH]|Humans[MESH]|Immune Complex Diseases/*complications/epidemiology/microbiology[MESH]|Incidence[MESH]|Infant[MESH]|Length of Stay[MESH]|Leukocytosis/complications[MESH]|Male[MESH]|Meningococcal Infections/*complications/immunology[MESH]|Netherlands/epidemiology[MESH]|Pleurisy/immunology[MESH]|Retrospective Studies[MESH]|Vasculitis/immunology[MESH] |
