title: [Acute disease with fever with rapidly developing shock and ecchymoses].
abstract: The history, the clinical and laboratory findings of a 13 year old boy, who has initially shown the signs and symptoms of febrile infectious disease are presented. The petechial and purpuric skin lesions have been suspected to be a rash. Accurate diagnosis therefore has been delayed up to 20 hours after onset of specific skin lesions. A very rapid deterioration made adequate treatment unsuccessful. It is pointed out that prompt accurate diagnosis and medical treatment in this serious infectious disease may improve the overall poor prognosis.
mesh_terms: D000138:Acidosis / Q000209:etiology; D000293:Adolescent; D004438:Ecchymosis / Q000209:etiology*; D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D008589:Meningococcal Infections / Q000150:complications / Q000175:diagnosis; D018805:Sepsis / Q000209:etiology; D012769:Shock / Q000209:etiology*; D014884:Waterhouse-Friderichsen Syndrome / Q000150:complications / Q000175:diagnosis*
vernacular_title: Akute fieberhafte Erkrankung mit rasch einsetzendem Schock und Hautblutungen.