Similarly, 65% of the patients who presented in coma died, compared with 12.5% who did not present in coma (p 0.000001). [ncbi.nlm.nih.gov]

• Nausea

  It can also cause nausea, vomiting, and sensitivity to light. Infants may have feeding problems and a weak cry, and they may be irritable and sluggish. Bloodstream infections may cause a rash of red or purple spots. [merckmanuals.com]

• Tachycardia

  Features at presentation in decreasing order of frequency were: fever (89.5%), tachypnoea (73.3%), rash (59% [maculopapular 17.1%, petechial 27.6% and purpuric 14.3%]), vomiting (52.4%), irritability (44.8%), tachycardia (37.5%), lethargy (36.2%), neck [ncbi.nlm.nih.gov]

• Hearing Impairment

  impairment in 0.9 % each. [ncbi.nlm.nih.gov]

• Headache

  Fever was the most common manifestation (100 %) followed by meningeal signs (78.2 %), headache (56.4 %), vomiting (53.6 %), shock (38.2 %), low Glasgow coma scale (GCS) (25.5 %), purpura and rashes (23.6 %), seizures (9.1 %), abdominal symptoms (4.5 % [ncbi.nlm.nih.gov]

  Meningitis often causes fever, headache, red rash, and a stiff neck. It can also cause nausea, vomiting, and sensitivity to light. Infants may have feeding problems and a weak cry, and they may be irritable and sluggish. [merckmanuals.com]

• Cerebrospinal Fluid Abnormality

  However, unusual epidemiologic features of the case and cerebrospinal fluid abnormalities suggested meningococcal meningitis as the probable etiology. Serologic studies confirmed recent meningococcal infection. [ncbi.nlm.nih.gov]

Abstract Aggressive early treatment of meningococcal disease can reduce mortality. [ncbi.nlm.nih.gov]

It is essential that clinicians recognize the various states of the disease, since they differ in natural history, treatment and prognosis. [ncbi.nlm.nih.gov]

The potential etiologies of sudden acquired deafness are diverse, but a thorough evaluation is warranted and may be rewarding, even if it is initiated weeks after onset of deafness. [ncbi.nlm.nih.gov]

A conventional epidemiological approach was taken, supported by routine and novel diagnostic techniques. [ncbi.nlm.nih.gov]

Determining cytokine concentrations could prove to be a valuable tool in evaluating the pathophysiology of myocardial infarction during infectious processes. [ncbi.nlm.nih.gov]

Chemoprophylaxis and vaccination of close contacts is the most cost-effective strategy but will prevent relatively few cases. Population vaccination prevents considerably more cases, but at a much higher total and marginal cost. [ncbi.nlm.nih.gov]