How do babies get meningitis - Older children and adolescents have a stiff neck with a fever, headache, and confusion, and newborns and young infants are usually irritable, stop eating, vomit, or have other symptoms. The diagnosis is based on the results of a spinal tap and blood and urine tests. Some children die of meningitis even after receiving appropriate treatment.

 
Meningitis in newborns can be either early or late onset. Early onset occurs within the first week after birth for babies born at term, and in the first 72 hours of life for those born preterm .... Graf

Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection.Encephalitis also may cause changes in sight or hearing. Most people with infectious encephalitis have flu-like symptoms, such as: Headache. Fever. Aches in muscles or joints. Fatigue or weakness. Typically, these are followed by more-severe symptoms over a period of hours to days, such as: Stiff neck.Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.Baby & toddler Your baby’s health What to watch out for Meningitis in babies and children What is meningitis? Symptoms What to do if you think your child has meningitis What causes meningitis? How does a baby or child get meningitis?Oct 13, 2021 · Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ... Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ... Here we offer helpful, doctor-approved info about fever, coughs, colds, flu, rashes, allergies, and many other health concerns. Explore our guides to doctor visits, vaccines, and medication, get advice on teething and dental care, and learn how to keep your child safe at home and beyond. Photo credit: iStock.com / FatCamera. Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ...Here we offer helpful, doctor-approved info about fever, coughs, colds, flu, rashes, allergies, and many other health concerns. Explore our guides to doctor visits, vaccines, and medication, get advice on teething and dental care, and learn how to keep your child safe at home and beyond. Photo credit: iStock.com / FatCamera.Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ... Signs and symptoms of meningitis include: fever. a severe headache. nausea. stiff neck. sensitivity to light. Meningitis often occurs due to pathogens such as viruses, bacteria, and fungi, and so ...Infants with meningitis can have a variety of symptoms, including: a fever. shivering. a stiff neck. arching of the back. cold hands and feet. turning away from light. excessive irritability, such ...Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death.Symptoms and Signs of Neonatal HSV Infection. Manifestations generally occur between the 1st and 3rd weeks of life but rarely may not appear until as late as the 4th week. Neonates may present with local or disseminated disease. Skin vesicles are common with either type, occurring in about 70% overall. Neonates with no skin vesicles usually ...Sep 1, 2023 · The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 days Prevention. Treatment. Bacterial meningitis is inflammation of the layers of tissue surrounding the brain and spinal cord (meninges) caused by bacteria . Newborns with bacterial meningitis are usually irritable, vomit, or may have seizures. The diagnosis is based on the results of a spinal tap and blood tests.Sep 17, 2019 · Summary. Meningitis is inflammation of the thin tissue that surrounds the brain and spinal cord, called the meninges. There are several types of meningitis. The most common is viral meningitis. You get it when a virus enters the body through the nose or mouth and travels to the brain. Bacterial meningitis is rare, but can be deadly. The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 daysChildren can develop meningitis from close contact with a person who has the infection or through surfaces and inanimate objects infected with the germ that causes meningitis. A simple cold or...Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ...Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ... Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ...Dec 22, 2022 · It might surprise you how quickly your baby is picking up new skills. Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Meningitis signs and symptoms in babies. Your baby might not experience the same meningitis symptoms as adults (like headache, neck stiffness and nausea) and it can be hard to tell even if they are. Some signs of meningitis you can look for in babies include: Bulging “soft spot” (fontanelle) on baby’s head. Poor eating.Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ...Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or...Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...Press the bottom or side of a clear drinking glass firmly against the rash. Check if the rash fades under the pressure of the glass. If the rash does not fade, your child may have septicaemia caused by the meningitis germ. Get medical help at once. Meningitis tumbler test - The rash doesn't fade if you press the side of a clear glass firmly ...Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ...Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... Herpes meningoencephalitis is an infection of the brain and brain covering (meninges) caused by the herpes simplex virus. It is a medical emergency that requires treatment right away. Symptoms can include headache, fever, changes in consciousness, confusion, neck stiffness, sensitivity to light, seizures, and changes in mood, personality, or ...Viral meningitis is an infection of the membranes (linings) that cover the brain and spinal cord. Symptoms and infectious periods vary depending on the virus responsible. Most people recover from viral meningitis. This publication is provided for education and information purposes only. It is not a substitute for professional medical care.Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...Mar 22, 2022 · Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ... In babies and toddlers, these additional symptoms may occur: swelling in the fontanelle; ... People of any age can get meningitis B. Over half of all cases occur in teenagers and young adults.Sep 21, 2021 · In infants, illness caused by group B strep can be within six hours of birth (early onset) — or weeks or months after birth (late onset). Signs and symptoms might include: Fever. Low body temperature. Difficulty feeding. Sluggishness, limpness or weak muscle tone. Difficulty breathing. Irritability. Jitteriness. Sep 1, 2023 · The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 days Meningococcal meningitis and bloodstream infections can be very serious, even deadly. The infections progress quickly. Someone can go from being healthy to very ill in 48 hours or less. Even if they get treatment, about 10 to 15 in 100 people with meningococcal disease will die from it.Meningitis is when the membranes that surround and protect the brain and spinal cord become inflamed and swollen. This usually happens because the membranes, called the meninges, have become infected from bacteria or a virus. The inflammation can then cause damage to the brain or nerves. Child and Adolescent Immunization Schedule by Age. Recommendations for Ages 18 Years or Younger, United States, 2023. Print. Please see the most up-to-date COVID-19 vaccine recommendations and new or updated recommendations for RSV , Influenza, pneumococcal, polio, and Mpox vaccines. These have been adopted by the CDC Director and are official.Apr 18, 2020 · The baby was born with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 2.8 kg with a head circumference of 43.5 cm (>99th percentile). Her exam was notable for macrocephaly with bulging fontanelles, large bilateral cleft lip/palate, nasal encephalocele, and bilateral microphthalmia. Causes Several types of bacteria can cause meningitis. Leading causes in the United States include Streptococcus pneumoniae Group B Streptococcus Neisseria meningitidis Haemophilus influenzae Listeria monocytogenes Escherichia coliSpread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ...Sep 21, 2021 · In infants, illness caused by group B strep can be within six hours of birth (early onset) — or weeks or months after birth (late onset). Signs and symptoms might include: Fever. Low body temperature. Difficulty feeding. Sluggishness, limpness or weak muscle tone. Difficulty breathing. Irritability. Jitteriness. Baby & toddler Your baby’s health What to watch out for Meningitis in babies and children What is meningitis? Symptoms What to do if you think your child has meningitis What causes meningitis? How does a baby or child get meningitis?Almost half of neonatal sepsis survivors return to the hospital at least once after recovery. Some babies develop an infection of the membranes surrounding their brain called meningitis. Newborns who have this condition may develop serious symptoms and side effects, including: Extreme sluggishness (lethargy).Feb 8, 2011 · Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. Meningitis is an infection of the membranes that cover the brain and spinal cord. While meningitis affects people in all age groups, children 2 and younger are most at risk. Without prompt treatment, infants with meningitis can suffer permanent brain damage or even death. Learn more about the causes, symptoms, and treatment of this dangerous ...Meningococcal meningitis and bloodstream infections can be very serious, even deadly. The infections progress quickly. Someone can go from being healthy to very ill in 48 hours or less. Even if they get treatment, about 10 to 15 in 100 people with meningococcal disease will die from it.Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ... get plenty of rest; take painkillers for a headache or general aches; take anti-sickness medicine for any nausea or vomiting; If you feel unable to manage your symptoms at home or you feel worse, get further medical help. Preventing the spread of infection. The risk of someone with meningitis spreading the infection to others is generally low.Mar 1, 2023 · Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids. Very rarely, more-serious symptoms can happen. Some strains of this virus can cause: Severe hand-foot-and-mouth disease. Chest pain, called pleurodynia. Inflammation of the heart muscle, called myocarditis. The tissue around the brain to swell, a disease called meningitis. Infection in the brain, also called encephalitis.Meningitis is an inflammation of the meninges (the membrane covering the brain and spinal cord). Meningitis is caused by either a bacterial infection or a viral infection. Bacterial meningitis can get worse very quickly. If your child is showing signs of meningitis, seek immediate medical attention. Most people recover from meningitis, although ... The baby was born with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 2.8 kg with a head circumference of 43.5 cm (>99th percentile). Her exam was notable for macrocephaly with bulging fontanelles, large bilateral cleft lip/palate, nasal encephalocele, and bilateral microphthalmia.Do not administer meningococcal vaccines to: A person who has ever had a severe allergic reaction (e.g., anaphylaxis) after a previous dose; A person who has a severe allergy to any vaccine component; If otherwise indicated, vaccine providers may administer meningococcal vaccines to pregnant or breastfeeding women.Having convulsions (seizure) Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms.Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning ( sepsis) and result in permanent damage ...Viral (aseptic) meningitis. Although very rare, a small number of people with HFMD get viral meningitis. It causes fever, headache, stiff neck, or back pain and may require the infected person to be hospitalized for a few days. Learn more about Viral Meningitis. Encephalitis or paralysisTwo serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ... Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids.Mar 1, 2023 · Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids. Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years).Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ... Pneumococcal disease can cause infections of the ears, lungs, blood, and brain. Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild, but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years old are among those most at risk for the disease.Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...Babies are at high risk of bacterial meningitis and often have symptoms that mimic other illnesses. Parents should be on the lookout for meningitis symptoms such as high fever, stiff neck, rigid extremities, vomiting, diarrhea, or a skin rash with lots of pinpoint-sized dots ( petechiae ) that are associated with invasive meningococcal disease .May 18, 2023 · In many cases, they are harmless. Bacterial meningitis occurs when these bacteria get in your bloodstream and travel to your brain and spinal cord to start an infection. Most bacteria that cause ... Herpes meningoencephalitis is an infection of the brain and brain covering (meninges) caused by the herpes simplex virus. It is a medical emergency that requires treatment right away. Symptoms can include headache, fever, changes in consciousness, confusion, neck stiffness, sensitivity to light, seizures, and changes in mood, personality, or ... Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ... Your baby can get meningitis when bacteria, viruses, or a fungus infecting another part of their body travels in the bloodstream to their brain and spinal cord. Out of 1,000 live births,...Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911.Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911. Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...Stiff neck. Other symptoms that can occur with this disease: Agitation. Bulging fontanelles in babies. Decreased alertness. Poor feeding or irritability in children. Rapid breathing. Unusual posture, with the head and neck arched backward (opisthotonos) You cannot tell if you have bacterial or viral meningitis by how you feel.

Feb 27, 2018 · Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ... . Bjpercent27s careers near me

how do babies get meningitis

Your baby can get meningitis when bacteria, viruses, or a fungus infecting another part of their body travels in the bloodstream to their brain and spinal cord. Out of 1,000 live births,...Viral meningitis is caused by viruses found in saliva, blood, nose drainage, and bowel movements. The virus is spread from an infected person to another through coughing, kissing, or sharing food or drinks. Your child may also get a type of viral meningitis if he or she is bitten by a mosquito that carries the West Nile virus.Pneumococcal disease can cause infections of the ears, lungs, blood, and brain. Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild, but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years old are among those most at risk for the disease.Jan 27, 2023 · Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection. Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ...Very rarely, more-serious symptoms can happen. Some strains of this virus can cause: Severe hand-foot-and-mouth disease. Chest pain, called pleurodynia. Inflammation of the heart muscle, called myocarditis. The tissue around the brain to swell, a disease called meningitis. Infection in the brain, also called encephalitis.Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. The baby was born with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 2.8 kg with a head circumference of 43.5 cm (>99th percentile). Her exam was notable for macrocephaly with bulging fontanelles, large bilateral cleft lip/palate, nasal encephalocele, and bilateral microphthalmia.Mar 22, 2022 · Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ... Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection.Here we offer helpful, doctor-approved info about fever, coughs, colds, flu, rashes, allergies, and many other health concerns. Explore our guides to doctor visits, vaccines, and medication, get advice on teething and dental care, and learn how to keep your child safe at home and beyond. Photo credit: iStock.com / FatCamera.Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. By Mayo Clinic Staff. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Understand these next milestones and what you can do to promote your baby's growth.The ways a person can get meningitis depend on what has caused it. Causes include bacteria, viruses, fungi, parasites, amebas, trauma, and medications. Infants can also get bacterial meningitis ...Babies are at high risk of bacterial meningitis and often have symptoms that mimic other illnesses. Parents should be on the lookout for meningitis symptoms such as high fever, stiff neck, rigid extremities, vomiting, diarrhea, or a skin rash with lots of pinpoint-sized dots ( petechiae ) that are associated with invasive meningococcal disease ..

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