Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Immunoadsorption therapy for a meningococcemia patient with myocarditis, adrenal hemorrhage, and purpura fulminans: a case report

Nihal Akcay; Hasan Serdar Kihtir; Guner Ozcelik; Ulkem Kocoglu Barlas; Mey Talip Petmezci; Esra Sevketoglu

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Neisseria meningitidis, also known as meningococcus, is a relatively uncommon cause of invasive infection, but when it occurs, it is frequently severe and potentially life-threatening. A ten-year-old female patient developed a purpuric rash with fever. Upon arrival to the pediatric intensive care department, she was unconscious and in a poor general condition. We combined treatment with antibiotics, volume resuscitation, hydrocortisone, and CytoSorb® therapy resulted in a stabilization of hemodynamics, as well as control of hyperinflammation. We observed a significant decrease in vasopressor dosage in this patient.


Myocarditis; Purpura Fulminans; Plasmapheresis; Waterhouse-Friderichsen Syndrome


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Braz J Anesthesiol

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