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Meningococcal Disease (Neisseria meningitidis)

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Home - National Notifiable Diseases Surveillance System
Overview
Introduction
List of Nationally Notifiable Diseases
Alphabetical List of Case Definitions
Definition of Terms
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1997 Case Definition

Clinical description

Meningococcal disease manifests most commonly as meningitis and/or meningococcemia that may progress rapidly to purpura fulminans, shock, and death. However, other manifestations might be observed.

Laboratory criteria for diagnosis

  • Isolation of Neisseria meningitidis from a normally sterile site (e.g., blood or cerebrospinal fluid [CSF] or, less commonly, joint, pleural, or pericardial fluid)

Case classification

Probable: a case with a positive antigen test in CSF or clinical purpura fulminans in the absence of a positive blood culture

Confirmed: a clinically compatible case that is laboratory confirmed

Comment

Positive antigen test results from urine or serum samples are unreliable for diagnosing meningococcal disease.

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