The full content of Annals is available to subscribers

Subscribe/Learn More  >
Original Research |

Group-Y Meningococcal Disease: Twelve Cases at an Army Training Center

[+] Article, Author, and Disclosure Information

▸Requests for reprints should be addressed to Jerry D. Smilack, M.D., Infectious Disease Laboratory, The Methodist Hospital, 6516 Bertner Blvd., Houston, TX 77025.

Houston, Texas

Ann Intern Med. 1974;81(6):740-745. doi:10.7326/0003-4819-81-6-740
Text Size: A A A

Meningococcal infections have been a serious cause of morbidity and mortality in the military. Although the recent availability of an effective polysaccharide vaccine against group-C infection has resulted in a marked diminution of disease, group-Y meningococcal infections have continued, with an occasional isolated epidemic. Experience with 12 cases of group-Y disease at one U.S. Army training center is presented. Nearly half of the patients presented primarily with evidence of central nervous system involvement. In 4 of the 12 cases meningococcemia alone was the initial presentation; one additional patient with meningococcemia developed meningoencephalitis shortly after hospital admission. There were two cases of primary meningococcal pneumonia. Three of the patients with meningococcemia died; two had clinical or autopsy evidence of a syndrome of disseminated intravascular coagulation. Group-Y meningococcal disease appears to be a virulent infection with a significant mortality rate.





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).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.