All are true about post meningococcal reactive disease, EXCEPT:: (A) Develops after 4 weeks of meningococcal disease, (B) Maculopapular or vasculitic rash and polyserositis, (C) These features resolve spontaneously without sequelae, (D) Antibiotic prophylaxis is not needed
Answer is A. It is immune complex related problem, develops 4-10 days after the onset of meningococcal disease, with manifestations that include a maculopapular or vasculitic rash, and polyserositis with fever. These features resolve spontaneously without sequelae. No need to treat/prophylaxis with antibiotic. Ref: Harrisons Principles of Internal Medicine, 18th Edition, Page 1215