KEROCHI
Forum Guru
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1. bilateral adrenal hemorrhage , DIC, hemorrhagic vasculitis in a 6 y/o girl?
a. N. gonorrhea
b. N. meningetides
c. listeria
d. Staph epidermidis
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| CampNou
Forum Junior
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That's Waterhouse-Friderichsen Syndrome caused by N. meningitidis
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| chemamr
Forum Hero
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agree too, meningococcus (intracellular gram negative diplococcus) 
Edited by chemamr on 07/26/05 - 09:57 PM
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| KEROCHI
Forum Guru
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you're both right.
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| bactitech
Forum Elite
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Actually, we report out N. meningitiditis as an intracellular gram negative diplococcus. I have never heard the term "intracellular gram negative bacillus" used and I have been in medical micro for over 30 years.
If we were to see this organism's morphology on, say, a smear of CSF, we would probably report out the following:
Many WBC's, moderate (insert quantitation here) intracellular gram negative diplococci.
I can assure you that we would probably make a second smear to make sure that the slide was not overdecolorized. If any organism scares hospital people instantly, it is N. meningitidis in a CSF. Usually any personnel that were exposed to the patient must undergo prophylactic Rifampin therapy immediately. The patient is in extremely critical condition and can die within hours. Thankfully, I think I've only ever seen one case of it come through in all the years I've worked in micro, but there are a few cases a year reported in the news media, so the threat is always out there.
Many of you out there are in the prime age for infection from this organism, although you're a bit older than typical college kids living in dormitories. You should really consider getting vaccinated against this bug, especially if you're still living in any type of group setting.
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| jvo_md
Forum Senior
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Meningoccoco
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