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February 1927

PURPURA FULMINANS DUE TO THE MENINGOCOCCUS: REPORT OF A CASE

Author Affiliations

DETROIT
From the Department of Pediatrics of the Henry Ford Hospital.

Am J Dis Child. 1927;33(2):244-248. doi:10.1001/archpedi.1927.04130140064008
Abstract

A case of purpura fulminans is reported which is of interest because of its comparative rarity, the etiology of meningococcus infection and the opportunity for complete necropsy studies.

CASE REPORT  History.—A boy, aged 10 months, had previously been a normal healthy child. On the morning of the day before death his mother brought him to the outpatient clinic, at which time he appeared to be well. He was vaccinated for smallpox. The same afternoon at about 5, it was noticed that he was not well; he had fever and chills and was restless. The manifestations of illness increased during the evening. By 10 p. m. he presented the appearance of an acutely ill, pale and slightly cyanosed child, with a temperature of 104 F. and a respiratory rate of 52. Physical examination gave negative results, except for a general hyperesthesia and distress elicited on moving the joints. The impression

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