Meningococcaemia

High urgency
-Very severe

Meningococcaemia is a serious disease caused by the bacterium Neisseria meningitidis.

It is commonly transmitted by drops from an infected individual through breathing, sneezing and/or coughing. It invades the bloodstream, affecting the whole organism by causing coagulation disorders and shock.

Initially, there may be few unspecific symptoms such as fever, headache, irritability, muscle pain, nausea and a skin rash with red/purple patches. When its onset progresses, impaired consciousness, areas of bleeding under the skin and shock appear.

The diagnosis is reached through the clinical history, a physical examination, laboratory tests, a cerebrospinal fluid analysis through lumbar puncture, various cultures, and a skin lesion biopsy.

It requires urgent admission to a medical facility, respiratory isolation and early treatment with: intravenous antibiotic and fluid administration, and support measures in the case of organ failure.

Bibliographic references
  1. Michael Apicella. Clinical manifestations of meningococcal infection. UpToDate. Sep 03, 2015.
  2. Michael Apicella. Treatment and prevention of meningococcal infection. UpToDate. Jul 15, 2015.
  3. Cohn AC, MacNeil JR, Clark TA, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2013; 62:1.
  4. Tunkel AR, van de Beek D, Scheld WM. Acute meningitis. In: Principles and Practice of Infectious Diseases, 7th ed, Mandell GL, Bennett JE, Dolin R (Eds), Churchill Livingstone, Philadelphia 2010. p.1189.
  5. Stephens DS, Greenwood B, Brandtzaeg P. Epidemic meningitis, meningococcaemia, and Neisseria meningitidis. Lancet 2007; 369:2196.
  6. Thompson MJ, Ninis N, Perera R, et al. Clinical recognition of meningococcal disease in children and adolescents. Lancet 2006; 367:397.
  7. Stephens DS y cols. Infecciones por meningococos y Listerias. Harrison. Manual de Medicina. 16º edición. 488-490.
  8. Mayra Gómez Moreno, Cristina Domínguez, Verónica Odriozola. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6º edición. 2007. 482: 485.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Red spotting on the skin - petechiae


    Neck stiffness


    Skin with red-purplish spots - Purpuric rash


    Fever / Feel very hot


    Change in sensitivity

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.