Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

A Case of Purpura fulminans Caused by Streptococcus pneumoniae

Case report

Annals of Clinical Microbiology (Ann Clin Microbiol) 1999 December Volume 2, Issue 2, pages 216-219.

A Case of Purpura fulminans Caused by Streptococcus pneumoniae

Jang Su Kim, M.D., Chang Kyu Lee, M.D., In Bum Suh, M.D., Hyeun Ah Lee, Young Kee Kim, M.D. and Kap No Lee, M.D.

Department of Clinical Pathology, Korea University Medical College, Seoul, Korea

Abstract

Purpura fulminans is a potentially disabling and life-threatening disorder characterized by acute onset of progressive cutaneous hemorrhage and necrosis on distal extremities, and disseminated intravascular coagulopathy. We experienced a case of purpura fulminans due to Streptococcus pneumoniae. A 42-year-old woman presented with skin petechiae, ecchymosis and gangrene on distal extremities with laboratory evidence of DIC. The latex agglutination test with CSF was positive at Streptococcus pneumoniae. To our knowledge, this is the first report of purpura fulminans caused by Streptococcus pneumoniae in Korea. (Korean J Clin Microbiol 1999;2:216-219)

Keywords

Purpura fulminans, Streptococcus pneumoniae, Septicemia