Table 1

Clinical presentation, severity and outcome

Case	Age (months)/sex	Contact with travellers	Presentatation Resuscitation fluid^1-150 Maximum inotropes	Mechanical ventilation (days)	Outcome
1		10m/F		Grandmother		Petechiae, septicaemia	2	Discharged
						80 ml/kg fluid
						No inotropes
2		27m/M		Father		Purpura fulminans, septicaemia	11	Peripheral gangrene
						350 ml/kg fluid		Neurological sequelae
						adrenaline 2.2 μcg/kg/min
3		4m/F		6 family members		Meningitis, seizures,	0	Discharged
						no rash
						No fluid
						No inotropes
4		19m/F		2 Aunts		Purpura, septicaemia	2	Discharged
						90 ml/kg fluid
						dopamine 10 μg/kg/min