Journal of Adolescent Health
Volume 46, Issue 2, Supplement 2 , Pages S9-S15, February 2010

Meningococcal Disease Awareness: Clinical and Epidemiological Factors Affecting Prevention and Management in Adolescents

  • Stephen I. Pelton, M.D.

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Stephen I. Pelton, M.D., Maxwell Finland Laboratory for Infectious Diseases, 670 Albany Street, Boston, MA 02118.

Departments of Pediatrics and Epidemiology, Boston University Schools of Medicine and Public Health, Boston, Massachusetts

Received 9 July 2009; accepted 26 November 2009.

Nonspecificity of early symptoms makes meningococcal disease difficult to distinguish from more common, primarily self-limited infections. Patients rapidly progress to death despite medical intervention if early shock and/or disseminated intravascular coagulopathy are already present. Although overall incidence of and mortality from meningococcal disease is lower in adolescents than in infants, the case fatality rate is higher, making this population a critical target for prevention.

Keywords: Meningococcal disease diagnosis, Meningococcal disease prevention, Neisseria meningitidis epidemiology, Adolescent infectious diseases

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PII: S1054-139X(09)00644-2

doi:10.1016/j.jadohealth.2009.11.220

Journal of Adolescent Health
Volume 46, Issue 2, Supplement 2 , Pages S9-S15, February 2010