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Letters |

Exercise-Induced Oxygen Desaturation as a Late Complication of Meningococcal Septic Shock Syndrome

Frans B. Plötz, MD, PhD; Hans van Vught, MD, PhD; Cuno S. P. M. Uiterwaal, MD, PhD; Maaike Riedijk; Cornelis K. van der Ent, MD, PhD
JAMA. 2001;285(3):293-294. doi:10.1001/jama.285.3.290.
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To the Editor: Children who survive meningococcal septic shock syndrome (MSSS) may have long-term lung damage secondary to mechanical ventilation or to the disease itself. We studied the long-term pulmonary sequelae of MSSS and their relationship with several clinical variables during the acute phase of the disease.

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The Acute Respiratory Distress Syndrome Network, Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Eng J Med. 2000;342:1301-1308.
van Brakel  MJvan Vught  AJGemke  RJ Pediatric risk of mortality (PRISM) score in meningococcal disease. Eur J Pediatr. 2000;159:232-236.
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Campbell  WNJoshi  MSileo  D Osteonecrosis following meningococcemia and disseminated intravascular coagulation in an adult: case report and review. Clin Infect Dis. 1997;24:452-455.


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