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.
Text Size: A A A
Published online


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.

Gemke  RJBonsel  GJMcDonell  Jvan Vught  AJ Patient characteristics and resource utilisation in peadiatric intensive care. Arch Dis Child. 1994;71:291-296.
Davidson  TACaldwell  ESCurtis  JRHudson  LDSteinberg  KP Reduced quality of life in survivors of acute respiratory distress syndrome compared with critically ill control patients. JAMA. 1999;281:354-360.
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.
de Kleijn  EDHazelzet  JAKomelisse  RF  et al.  Pathophysiology of meningococcal sepsis in children. Eur J Pediatr. 1998;157:869-880.
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.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.