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Kawasaki disease following meningococcal septicaemia
  1. A V Ramanan,
  2. E M Baildam
  1. Department of Paediatric Rheumatology, Royal Manchester Children's Hospital, Manchester, UK
  1. Correspondence to:
    Dr A V Ramanan, 508, 77 Elm Street, Toronto, Ontario M5G 1H4, Canada;

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We report a case of Kawasaki disease (KD) following meningococcal septicaemia which we believe has not been described before. A 14 month old boy presented to his local hospital with a four day history of being unwell, fever, and blanching maculopapular rash. Meningococcal septicaemia was diagnosed clinically and the boy was managed with fluid support and intravenous antibiotics. His recovery was complicated by developing respiratory syncytial virus positive bronchiolitis and secondary surgical emphysema. Polymerase chain reaction) was positive for group B meningococcus on day 3. Blood and urine cultures were negative. He continued to spike high temperatures …

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