Purpura Fulminans, Neisseria Meningitidis Infection, Disseminated Cryptococcus - DermAtlas

Contributor

Jessica Ghaferi, BS

Diagnosis

purpura fulminans Neisseria meningitidis infection disseminated cryptococcus

Body Site

leg foot toe

Age

62 years

Pigmentation

dark

Organization

confluent

Color

purple white/hypo

Morphology

purpura

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

A 62 year-old Human Immunodeficiency Virus infected woman (CD4 494, viral load <400) was evaluated for fever, cough, myalgias, and a diffuse petechial eruption. Despite aggressive treatment with broad spectrum parenteral antibiotics, she developed disseminated intravascular coagulation and multiorgan failure. Blood cultures were positive for Neisseria meningitidis. The next day diffuse stellate purpuric patches were noted on the distal extremities followed by necrosis of multiple digits and large areas of skin.

Description

widespread and confluent stellate cutaneous purpura and necrosis

Image Added

3/5/2005 18:06:19

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Other Resources

PubMed Medline Plus Medscape

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