Purpura Fulminans Secondary to Streptococcus pneumoniae Meningitis
Joint Authors
Olarte, Karen E.
Ramesh, Mayur S.
Alvarez, Erick F.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Purpura fulminans (PF) is a rare skin disorder with extensive areas of blueblack hemorrhagic necrosis.
Patients manifest typical laboratory signs of disseminated intravascular coagulation (DIC).
Our case describes a 37-year-old previously healthy man who presented with 3 days of generalized malaise, headache, vomiting, photophobia, and an ecchymotic skin rash.
Initial laboratory workup revealed DIC without obvious infectious trigger including unremarkable cerebrospinal fluid (CSF) biochemical analysis.
There was further progression of the skin ecchymosis and multiorgan damage consistent with PF.
Final CSF cultures revealed Streptococcus pneumoniae.
Despite normal initial CSF biochemical analysis, bacterial meningitis should always be considered in patients with otherwise unexplained DIC as this may be an early manifestation of infection.
PF is a clinical diagnosis that requires early recognition and prompt empirical treatment, especially, in patients with progressive altered mental status, ecchymotic skin rash, and DIC.
American Psychological Association (APA)
Alvarez, Erick F.& Olarte, Karen E.& Ramesh, Mayur S.. 2012. Purpura Fulminans Secondary to Streptococcus pneumoniae Meningitis. Case Reports in Infectious Diseases،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-477227
Modern Language Association (MLA)
Alvarez, Erick F.…[et al.]. Purpura Fulminans Secondary to Streptococcus pneumoniae Meningitis. Case Reports in Infectious Diseases No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-477227
American Medical Association (AMA)
Alvarez, Erick F.& Olarte, Karen E.& Ramesh, Mayur S.. Purpura Fulminans Secondary to Streptococcus pneumoniae Meningitis. Case Reports in Infectious Diseases. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-477227
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-477227