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Purpura fulminans in a hyposplenic patient arising from pneumococcal sinusitis
Zi Yi Tew1, Daniel Johnson2, Gerard Louis3
1Department of Anaesthesia, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UK ztew@nhs.net.
Abstract:
We report a previously healthy woman in her 50s who presented with sepsis, rapidly progressive purpuric rash and disseminated intravascular coagulation. She was diagnosed with acute infective purpura fulminans due to invasive pneumococcal infection likely secondary to sinusitis. Our case report discusses our initial diagnostic uncertainty and approach in investigating and treating such a critically unwell patient.
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