CASE: A four and a half year
CASE: A four and a half year old boy presents with pyrexla, neck stiffness and a purpuric rash. At age three years he had his first episode of meningococcal meningitis, from which he made a full recovery. At the time of contracting meningococcal meningitis he was on antibiotics for an upper respiratory infection he had contracted two weeks previously. Therefore no organisms were isolated from the CS, There were no known contacts for meningitis at time of infection.  At age three years and four months he suffered from another episode of bacterial meningitis. No culture was requested. At age four years he was diagnosed with meningococcal septicaemia. He made a full recovery with no sequelae.  The infections were described as relatively ‘mild’ by the referring doctor. Other than the above mentioned infections this patient has developed consistently and well and is growing on the 50th centile for weight and height.  All routine childhood vaccinations were given. His family history, including that of his two older female siblings is normal.  The patient lives at home with his parents and two siblings in a 2 bedroom house with running water and electricity. EXAMINATION: Axillary temperature, 38.5 °C  Purpuric rash with petechlae noted on the trunk and legs Neck stiffness elicited both Kernig and Brudzinski signs Generally patient is lethargic QUESTIONS: What is the diagnosis for the patient’s case? What is the case’s ABSTRACT? What is your DATA ANALYSIS? (Include schematic diagram, start with possible differential diagnosis then eliminate up to final diagnosis, add a discussion after the schematic diagram
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."