Difference between Fulminant and Acute Meningococcemias Fulminant seems to mead rapid. There is however some articles with both phrases: "fulminant meningococcecemia" (about 5000 Google matches) and "acute meningococcecemia" (about 3000 Google matches). I am thinking Neisseria meningitidis and its pathogenesis > Portal entry nasopharynx (pili)-> attach epithelium cells -> bloodstream (bacteremia); upper respiratory tract infection -symptoms; may be asymptomatic in transient flora; fulminant meningocococcemia (regardless of meningitis) **What is the difference between the two diseases?**

When we say "Fulminant meningococcemia" we mean failure of adrenal glands due to haemorrhage of infectious origin, or Waterhouse–Friderichsen syndrome

and acute is related to **time** of signs appearance, opposed to chronic disease.