No Neck Pain: Meningococcemia

      The patient's symptoms belied the dangerous infection that had invaded his bloodstream. A 46-year-old man was referred to our Gastroenterology unit for the management of acute abdominal pain with vomiting and fever. His medical history included ophthalmic migraines, which were treated with nonsteroidal anti-inflammatory drugs. He had no allergies, did not travel abroad, and had no known contact with ill patients.
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