Abstract
Disseminated intravascular coagulation (DIC) is a serious complication of meningococcal septicaemia. It often results in infarction of various tissues namely the skin, adrenal glands, kidneys, brain and, much less commonly, bones. We describe a patient who presented bone lesions after meningococcal septicaemia. In addition to plain radiography and scintigraphy the lesions were evaluated with MRI and have proved to be extensive and still progressive, approximately 18 months after the onset of the disease.
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Robinow M., Johnson GF, Nanagas MT, Mesghali H (1983) Bone lesions following meningococcaemia and disseminated intravascular coagulation: a recognizable dystrophy. Am J Dis Child 137: 279–281
McGehee WG, Rapaport SI, Hjort PF (1967) Intravascular coagulation in fulminant meningoccaemia. Ann Intern Med 67: 250–260
Duncan JS, Ramsay LE (1984) Widespread bone infarction complicating meningococcal septicaemia and disseminated intravascular coagulation. BMJ 288:111–112
Kricun ME (1985) Red-yellow marrow conversion: its effects on the location of some bone lesions. Skeletal Radiol 14:10–19
Mitchell DG, Kressel HY (1988) MR imaging of early avascular necrosis. Radiology 169:281–282
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Damry, N., Schurmans, T. & Perlmutter, N. MRI evaluation and follow-up of bone necrosis after meningococcal infection and disseminated intravascular coagulation. Pediatr Radiol 23, 429–431 (1993). https://doi.org/10.1007/BF02012440
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DOI: https://doi.org/10.1007/BF02012440