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Meningococcal arthritis and myopericarditis: a case report

Overview of attention for article published in BMC Infectious Diseases, December 2017
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Title
Meningococcal arthritis and myopericarditis: a case report
Published in
BMC Infectious Diseases, December 2017
DOI 10.1186/s12879-017-2845-3
Pubmed ID
Authors

Lloyd Steele, Katie Bechman, Eoghan De Barra, Charles Mackworth-Young

Abstract

We report the first adult case of Neisseria meningitidis W-135 presenting with meningococcal arthritis and myopericarditis concomitantly, without other classical features of meningococcal disease. A 67-year-old Caucasian man presented with acute-onset polyarthralgia, myalgia, and fever. On examination he had polyarticular synovitis. An electrocardiogram (ECG) demonstrated ST-elevation in leads I, II, III, aVF, and V2-V6 without reciprocal depression, and a high-sensitivity troponin level was significantly elevated. Cardiac magnetic resonance (CMR) imaging on day five of admission demonstrated patchy pericardial enhancement. Neisseria meningitidis W-135 was isolated from both synovial fluid and blood cultures. The clinical outcome was favourable with intravenous ceftriaxone and myopericarditis treatment (colchicine and ibuprofen). We conclude that this is a rare case of disseminated Neisseria meningitidis W-135 presenting with acute polyarticular septic arthritis and myopericarditis, without other classical features of systemic meningococcal disease. The earlier described entity of primary meningococcal arthritis (PMA) can present in patients with meningococcal bacteraemia, and may not be distinct from disseminated meningococcal disease, but rather an atypical presentation of this.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 10%
Researcher 3 10%
Other 3 10%
Librarian 2 7%
Student > Doctoral Student 2 7%
Other 7 23%
Unknown 10 33%
Readers by discipline Count As %
Medicine and Dentistry 10 33%
Unspecified 1 3%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Chemical Engineering 1 3%
Computer Science 1 3%
Other 3 10%
Unknown 13 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 December 2017.
All research outputs
#18,578,649
of 23,011,300 outputs
Outputs from BMC Infectious Diseases
#5,653
of 7,722 outputs
Outputs of similar age
#327,490
of 439,982 outputs
Outputs of similar age from BMC Infectious Diseases
#113
of 157 outputs
Altmetric has tracked 23,011,300 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 157 others from the same source and published within six weeks on either side of this one. This one is in the 19th percentile – i.e., 19% of its contemporaries scored the same or lower than it.