[Purpura fulminans and coxsackie B2 co-infection].
BACKGROUND
During septic shock in children, myocardial deficiency usually lasts 3 to 6 days. When prolonged, an other etiology should be looked for.


METHODS
A 29 month-old child presented with purpura fulminans, probably due to Neisseria meningitidis. Positivity of the serodiagnostic for coxsackie B2, performed because of persisting myocardial deficiency, evoked diagnosis of a coxsackie B2 co-infection.


CONCLUSIONS
Abnormally prolonged myocardial deficiency during purpura fulminans must lead to the search for a congenital, metabolic or infectious cardiomyopathy.
Fourier
C
C
Service de réanimation pédiatrique, hôpital Jeanne de Flandre, 2 av. Oscar Lambret, F59037 Lille. fleclerc@chru-lille.fr
Noizet
O
O
Thumerelle
C
C
Dewilde
A
A
Vaksmann
G
G
Leclerc
F
F
D002675:Child, Preschool; D029822:Enterovirus B, Human; D004769:Enterovirus Infections / Q000150:complications*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D008297:Male; D008589:Meningococcal Infections / Q000150:complications*; D009345:Neisseria meningitidis