Gangrene of Skin From Meningococcemia, Presented by Dr. J. Harry Katz.
A man aged 32 developed meningococcemia about eight weeks ago. There was high fever, severe malaise, and hemorrhages throughout the skin, particularly on the thighs, where they were severe. When convalescence began, about three weeks ago, large crusts formed at the sites of the hemorrhages. Some of the smaller crusts have disappeared, leaving pitted scars.
Scattered, round, pitted scars with depressed centers are seen on the trunk and extremities. On the anterior aspect of the thighs are large trough-like ulcerations, some still filled with crusts, others with a purulent exudate.
Treatment has consisted of Chymar, 0.5 cc. twice weekly, Varidase buccal tablets, and neomycin ointment locally.
The hemoglobin level, white blood cell counts, and differential counts are within normal limits, as is the urinalysis.
Dr. Jack Wolf: This is a very interesting eruption, one we certainly do not
Perry Sachs, Maurice J. Costello. MANHATTAN DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1959;80(3):367–369. doi:10.1001/archderm.1959.01560210109023