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Abstract

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; five of these seven cases died within 24 hours of presentation to hospital.

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/content/10.2807/1560-7917.ES.2016.21.12.30175
2016-03-24
2020-07-04
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.12.30175
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Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Helen+Campbell&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Campbell Helen</a> , <a href="/search?value1=Sydel+R+Parikh&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Parikh Sydel R</a> , <a href="/search?value1=Ray+Borrow&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Borrow Ray</a> , <a href="/search?value1=Ed+Kaczmarski&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kaczmarski Ed</a> , <a href="/search?value1=Mary+E+Ramsay&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ramsay Mary E</a> , <a href="/search?value1=Shamez+N+Ladhani&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ladhani Shamez N</a> </span>. Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016. <a href="/content/ecdc">Euro Surveill.</a> 2016;21(12):pii=30175. <a href="https://doi.org/10.2807/1560-7917.ES.2016.21.12.30175" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2016.21.12.30175</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 04 Mar 2016;&nbsp;&nbsp; <span class="generated">Accepted</span>: 24 Mar 2016 </span> </p>
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