Kohima: Nagaland’s Health and Family Welfare Department has issued an urgent advisory to schools and hostels after a 14-year-old boy was hospitalized with a suspected case of invasive meningococcal disease. The boy was admitted to the Paediatric Intensive Care Unit at CIHSR Hospital on August 2. He arrived with fever, vomiting, low blood pressure, altered mental status, and abnormal limb rigidity.
His condition worsened rapidly. Reddish-purple skin lesions spread across his body. He remains in critical condition and requires mechanical ventilation and intensive life-support measures. Doctors are currently treating the patient for septic shock and purpura fulminans while they wait for laboratory results to confirm the diagnosis of meningococcaemia.
"Based on the clinical presentation, the child is currently being managed as septic shock with purpura fulminans, with a clinical suspicion of invasive meningococcal disease (meningococcaemia)," the department stated. The illness, caused by the bacterium Neisseria meningitidis, can lead to meningitis or fatal bloodstream infections.
Officials warned that the disease moves quickly through shared living spaces like dormitories. It spreads via respiratory droplets, coughing, sneezing, kissing, or sharing items like cigarettes, eating utensils, and water bottles. The department directed Chief Medical Officers in Peren and Dimapur to increase surveillance across all educational facilities.
Watch for warning signs. These include high fever, severe headache, neck stiffness, light sensitivity, confusion, seizures, and a rash that stays visible when pressed. Cold extremities and shock also signal danger. If these symptoms appear, seek help immediately. The department directed that "any person with these symptoms should be referred immediately to the nearest health facility" for urgent evaluation.
Photo Courtesy: India Today Group

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