Purpura Fulminans

Purpura fulminans

• 70% of fulminans purpura is caused by Neisseria meningitidis (B, C, A).
• 30% due to Haemophilus influenzae, pneumococci, BG and BG +.

Purpura fulminans Infectious syndrome

        The sudden rise of temperature is accompanied by abdominal pain, nausea, vomiting. Convulsions were also observed.

        The skin lesions are extensive and confluent rapidly, progressing to necrosis. These lesions do not disappear in the vitropression.

Purpura fulminans pictures

Purpura fulminans treatment

        Antibiotic, without waiting for a lumbar puncture (LP), or the results of further tests. The treatment success rate is directly related to the earliness of initiation of antibiotic treatment. The meningococcus is most often responsible for meningitis. More rarely, meningitis can spread throughout the body via the bloodstream and cause general symptoms (severe alteration of general condition, hypotension, shock) and / or cutaneous signs that can make a table called fulminans purpura. These forms are the most serious and the lack of early care, can lead to death (20 to 30% mortality) or leave significant scars.

"Classical" purpura fulminans

        Purpura may have been preceded by lesions of urticaria, drug hypersensitivity, vaccination. Treatment with fresh frozen plasma may be associated with heparin therapy. It is necessary to initiate antibiotic therapy directed against the meningococcus, the Gram + and - pending the outcome of cultures. The surgical incisions and amputations are sometimes necessary to remove necrotic tissue.