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[Purpura fulminans and coxsackie B2 co-infection]
C Fourier1, O Noizet, C Thumerelle
1Service de réanimation pédiatrique, hôpital Jeanne de Flandre, 2 av. Oscar Lambret, F59037 Lille. fleclerc@chru-lille.fr
Presse Medicale (Paris, France : 1983)
|December 6, 2001
Abstract
Introduction:
During septic shock in children, myocardial deficiency usually lasts 3 to 6 days. When prolonged, an other etiology should be looked for.
Observation:
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.
Discussion:
Abnormally prolonged myocardial deficiency during purpura fulminans must lead to the search for a congenital, metabolic or infectious cardiomyopathy.