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To the Editor.—A few days ago I was called to see a 2-year-old child with a temperature of 40 C (104 F) and vomiting of three days' duration.
When I entered the examining room the child was lying on her stomach and multiple petechiae were noted on her back. As one would suspect the diagnosis of meningococcemia quickly entered my mind. However, when I turned the child over a localized area of petechiae and ecchymoses was observed around the sternum and another area over the left upper quadrant. Because of the more traumatic appearance of these lesions I questioned the mother thoroughly concerning their etiology. The mother was of Korean extraction and two days prior to evaluation she had taken this child to a Chinese acupuncturist. All the lesions previously described had been of iatrogenic origin.
With the increased interest and recent publicity associated with the technique of acupuncture,
BUCHTA RM. AN UNUSUAL CAUSE OF PETECHIAE. Am J Dis Child. 1972;123(6):613. doi:10.1001/archpedi.1972.02110120137028