Large erythematous patch as the presenting manifestation of meningococcemia.
Meningococcemia commonly presents with a petechial rash and a transient macular or papular rash is sometimes present. This report describes a patient with meningococcemia who presented with an atypical erythematous patch over the right hemithorax, petechial rash, and a normal platelet count. The patient was treated with broad-spectrum antibiotics and his condition rapidly improved. He was discharged showing complete resolution of his rash with no neurologic sequelae.
Weiss
P J
PJ
Department of Internal Medicine, Naval Hospital, San Diego, California 92134-5000.
Frum
D K
DK
Kennedy
C A
CA
D000328:Adult; D016470:Bacteremia / Q000150:complications*; D004890:Erythema / Q000209:etiology*; D006801:Humans; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications; D008589:Meningococcal Infections / Q000150:complications*; D009345:Neisseria meningitidis