Rocky Mountain Spotted Fever, Purpura Fulminans - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Rocky Mountain spotted fever purpura fulminans

Body Site

arm

Age

3 years

Pigmentation

light

Organization

Color

Morphology

Pattern

Comments

An ill appearing toddler with high fever and a diffuse red rash and edema suddenly developed diffuse petechiae and ecchymoses. Laboratory studies showed a prolonged bleeding time, thrombocytopenia, anemia, and neutropenia. After a prolonged course in the pediatric intensive care unit, he recovered uneventfully with the exception of necrosis of the tips of several toes.

Description

diffuse petechiae and edema

Image Added

9/8/2001 23:08:13

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