2nd May 2014, Volume 127 Number 1393

Murray Tilyard, Mark Thomas, Nikki Turner

Mr Lance Gravatt (PhD) has recently drawn attention to the dilemma faced by doctors considering patients with an acute, severe, febrile illness, in whom the differential diagnoses includes influenza and meningococcal disease.1 We agree that correct management of these patients is fraught with difficulties.

The most recent issue of Best Practice Journal provides a concise overview of the epidemiology, clinical features, management and prevention of meningococcal disease, which we believe will be helpful for doctors caring for patients with an acute, severe, non-specific illness.2

We hope that the advice contained in this article will help to reduce the number of fatalities from meningococcal disease in New Zealand in the coming years.

Murray Tilyard
Editor-in-Chief, Best Practice Journal
CEO, bpacnz
Professor of General Practice, Dunedin School of Medicine, University of Otago

Mark Thomas
Department of Molecular Medicine and Pathology, University of Auckland
Infectious Diseases Department, Auckland City Hospital

Nikki Turner
Department of General Practice and Primary Health Care
Director CONECTUS and the Immunisation Advisory Centre, University of Auckland

Author Information

Murray Tilyard
Editor-in-Chief, Best Practice Journal
CEO, bpacnz
Professor of General Practice, Dunedin School of Medicine, University of Otago

Mark Thomas
Department of Molecular Medicine and Pathology, University of Auckland
Infectious Diseases Department, Auckland City Hospital

Nikki Turner
Department of General Practice and Primary Health Care
Director CONECTUS and the Immunisation Advisory Centre, University of Auckland

References

1.       Gravatt L. Wise use of antibiotics [letter]. N Z Med J. 2014;127:77–80. http://journal.nzma.org.nz/journal/127-1390/6023/content.pdf

2.       Best Practice Advocacy Centre (bpacnz). Meningococcal disease: always consider in a patient with flu-like illness. Best Practice Journal. 2014;59:12-4. Available from: www.bpac.org.nz (Accessed Apr, 2014).