Published in:
01-12-2011 | Images in infection
Bullae and purpura revealing protein C consumption
Published in: Infection | Issue 6/2011
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We present two patients’ clinical images showing severe foot lesions characterized by bullous appearance over a diffusely purpuric skin, with serious fingertip involvement. Figure 1a and b presents a 4-year-old child suffering from Streptococcus pyogenes septic shock while Fig. 1c and d shows an 18-month-old child with group C Neisseria meningitidis septic shock. Both cases were complicated by severe DIC (with admission protein C level equal to 8 and 2%, respectively) followed by massive rhabdomyolysis and myoglobinuria; low-dose fenoldopam maintained renal function in the first case, whereas hemodiafiltration was necessary in the second patient. Both children survived after receiving high-level hemodynamic and ventilatory support.
Fig. 1
a, b Cutaneous lesions (bullae and purpura) from Streptococcus pyogenes septic shock. c, d Similar skin anomalies induced by group C Neisseria Meningitidis septic shock
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