Tuesday, January 10, 2012

Fever with rash

A male patient of 20 years presented to emergency with complaints of fever and altered sensorium of 1 day duration. On examination this rash was present. What is the diagnosis?



a) Purpura fulminans
b) Rocky Mountain Spotted Fever
c) Sterptococcal cellulitis
d) Dengue Fever



Answer is a) Purpura Fulminans ( Severe Meningococcal septic rash)

Massive intracutaneous hemorrhages are apparent in a patient with meningococcemia. The bleeding is related in part to thrombocytopenia, which is often part of the syndrome of disseminated intravascular coagulation, and in part to vascular damage caused by the meningococci, which can often be found invading the blood vessels. The lesions shown here are sometimes referred to as “purpura fulminans” and are associated with a high mortality rate.

Read more about Meningococcemia HERE

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