[Fever with a rash caused by chronic meningococcemia].

BACKGROUND: Fever with a rash is a common clinical presentation, which can be caused by various medical conditions.

CASE DESCRIPTION: A 14-year old boy presented at the outpatient clinic with a two-week history of fever, myalgia and purpuric skin lesions. Blood cultures showed an infection with Neisseria meningitidis. After antibiotic treatment, his symptoms resolved promptly.

CONCLUSION: Chronic meningococcemia is a rare manifestation of meningococcal infection and should be considered in patients with prolonged fever, purpuric skin lesions and joint involvement.