Purpura Fulminans, Septicemia, Disseminated Intravascular Coagulation - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

purpura fulminans septicemia disseminated intravascular coagulation

Body Site

total body foot

Age

9 months

Pigmentation

dark

Organization

discrete confluent

Color

purple

Morphology

vesiculobullous (blister, pustule)

Pattern

generalized, disseminated symmetric

Comments

This healthy 9-month-old girl developed high fever, hypotension, and generalized purpura with necrotic bullae on the distal extremities and hemorrhagic crusts on the mucous membranes. Blood cultures grew Streptococcus pneumoniae. She received aggressive support for management of septicemia and disseminate intravascular coagulation with broad spectrum antibiotics, fluid resuscitation, and pressors.

Description

widespread areas of purpura and necrosis with hemorrhagic bullae formation and crusting

Image Added

11/6/2005 10:59:28

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Other Resources

PubMed Medline Plus Medscape

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