title: [Necrosis of maxilla secondary to purpura fulminans. A case report].
abstract: Purpura fulminans in infants is a rare, life-threatening condition mostly due to Neisseria meningitides. The condition is often fatal unless there is early recognition of the clinical symptoms, prompt diagnosis, and judicious replacement therapy. We observed a case of maxilla necrosis in a 5-month-old infant due to purpura fulminans. An acute necrotic process affecting the maxilla with denudation of bone and spontaneous exfoliation of teeth was noted. After 2 months, the patient was free of symptoms. To our knowledge, this is the first case report of necrosis of the maxilla secondary to a purpura fulminans. Prompt diagnosis and prompt medical intervention are necessary to avoid such complications.
authors.affiliation: Service d'odontologie du CHRU de Brest, 2, rue Auguste-Le-Faux, 29200 Brest, France; Faculté d'odontologie de Brest, UBO-UEB, 22, avenue Camille-Desmoulins, 29200 Brest, France. Electronic address: carolinedarbin@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Darbin-Luxcey
authors.affiliation: Service d'odontologie du CHRU de Brest, 2, rue Auguste-Le-Faux, 29200 Brest, France; Faculté d'odontologie de Brest, UBO-UEB, 22, avenue Camille-Desmoulins, 29200 Brest, France.
authors.forename: H
authors.initials: H
authors.lastname: Foray
authors.affiliation: Service de chirurgie viscérale pédiatrique du CHRU de Brest, 2, avenue Foch, 29200 Brest, France; Faculté de médecine de Brest, 22, avenue Camille-Desmoulins, 29200 Brest, France; Laboratoire de neurosciences de Brest (EA4685), 22, avenue Camille-Desmoulins, 29200 Brest, France.
authors.forename: P
authors.initials: P
authors.lastname: De Vries
authors.affiliation: Service de chirurgie viscérale pédiatrique du CHRU de Brest, 2, avenue Foch, 29200 Brest, France.
authors.forename: C
authors.initials: C
authors.lastname: Le Rouzic
authors.affiliation: Service de chirurgie viscérale pédiatrique du CHRU de Brest, 2, avenue Foch, 29200 Brest, France; Faculté de médecine de Brest, 22, avenue Camille-Desmoulins, 29200 Brest, France.
authors.forename: M
authors.initials: M
authors.lastname: Thepaut
authors.affiliation: Service d'odontologie du CHRU de Brest, 2, rue Auguste-Le-Faux, 29200 Brest, France; Faculté d'odontologie de Brest, UBO-UEB, 22, avenue Camille-Desmoulins, 29200 Brest, France; Laboratoire de neurosciences de Brest (EA4685), 22, avenue Camille-Desmoulins, 29200 Brest, France.
authors.forename: F
authors.initials: F
authors.lastname: D'Arbonneau
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D008437:Maxilla / Q000473:pathology*; D009336:Necrosis / Q000209:etiology; D055665:Purpura Fulminans / Q000150:complications*