Purpura Fulminans: a Rare but Fierce Presentation of Pneumococcal Sepsis

Nasrullah, Adeel and Javed, Anam and Tariq, Usman and Young, Meilin and Moeen, Zunera and Balaan, Marvin (2019) Purpura Fulminans: a Rare but Fierce Presentation of Pneumococcal Sepsis. European Journal of Case Reports in Internal Medicine, 7 (1). ISSN 2284-2594

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Abstract

Infectious purpura fulminans (PF) is a rare presentation of disseminated intravascular coagulopathy (DIC) due to diffuse intravascular thrombosis and haemorrhagic infarction of the skin. PF can present in infancy/childhood or adulthood and usually presents as ecchymotic skin lesions, fever and hypotension. It is most commonly a consequence of sepsis related to Neisseria meningitidis, Streptococcus pneumoniae or Haemophilus influenzae. Despite aggressive management of sepsis with intravenous fluids, antibiotics, and conventional and nonconventional therapies, the condition still carries a mortality rate of 43%[1]. Streptococcus pneumoniae mostly presents with community-acquired pneumonia. We present a case of PF secondary to DIC related to Pneumococcal sepsis in an otherwise healthy and immunocompetent patient.

Item Type: Article
Uncontrolled Keywords: Purpura fulminans, sepsis, hyperbaric oxygen therapy, Streptococcus pneumonia
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 09:51
Last Modified: 19 Nov 2020 09:51
URI: http://eprints.bice.rm.cnr.it/id/eprint/19785

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