title: Pneumococcal septicaemia with Purpura fulminans in an 11-month-old child.
abstract: Purpura fulminans (PF) is a syndrome characterised by acute onset of rapidly progressive haemorrhagic necrosis of the skin due to dermal vascular thrombosis, mainly occurring during meningococcal sepsis. It occurs rarely in the course of infection with Streptococcus pneumoniae and most cases report Meningococcus as the causing agent. This is a case report of successful conservative limb-preserving management of PF and sepsis caused by Streptococcus pneumoniae in an 11-month-old girl.
authors.affiliation: Department of Plastic and Reconstructive Surgery, St Andrew's Centre for Plastic Surgery and Burns, Court Road, Broomfield, Chelmsford, Essex CM1 7ET, UK.
authors.forename: Petra Mariëlle
authors.initials: PM
authors.lastname: Meiners
authors.forename: Jorge
authors.initials: J
authors.lastname: Leon-Villapalos
authors.forename: Peter
authors.initials: P
authors.lastname: Dziewulski
mesh_terms: D016470:Bacteremia / Q000150:complications*; D003646:Debridement; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D007223:Infant; D007868:Leg Dermatoses / Q000382:microbiology / Q000601:surgery; D023821:Limb Salvage / Q000379:methods; D009336:Necrosis / Q000382:microbiology / Q000601:surgery; D011008:Pneumococcal Infections / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012867:Skin / Q000473:pathology