This review examines the role of cytokines and chemokines in the pathogenes
is of meningococcal disease (AICD) and draws comparisons with studies of ot
her forms of sepsis in adults and in animal models. There are many similari
ties but also discrepancies between these data. MCD is a well-defined clini
cal syndrome with identifiable onset and time of presentation. It is a reli
able model in which to study cytokine and chemokine responses in bacterial
sepsis. Such studies may lead to new adjunctive treatments, which can be te
sted to ameliorate severe MCD.