Acute infectious purpura fulminans with Enterobacter aerogenes post-neurosurgery

Yamamoto, Shinya; Ito, Ryoji

doi:10.1016/j.idcr.2019.e00514

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…In the literature, 60% of patients with AIPF due to Streptococcus pneumoniae were reported to be asplenic or functionally hyposplenic [2]. Gramnegative bacteria such as Klebsiella pneumoniae, Enterobacter associated with AIPF are rarely reported [3,4]. Varicella was the most common viral trigger, however, COVID-19 related AIPF cases have been reported during the COVID-19 pandemic [5].…”

Section: Discussionmentioning

confidence: 99%

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Acute infectious purpura fulminans

Czarny¹,

Czajkowska²,

Sikorska³

et al. 2022

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Introduction:Acute infectious purpura fulminans is a rare life-threatening complication of sepsis, which rapidly progresses to acute circulatory failure due to intravascular thrombosis and extensive haemorrhagic purpura associated with disseminated intravascular coagulation and multiple organ failure. Case report: A 43-year-old man reported to the emergency room because of dyspnoea following traumatic splenectomy. On admission, the patient reported malaise, fever and chills. The incident happened within a few hours to the development of septic shock. A dermatological examination revealed bleeding spots that did not blanch under pressure, localized mainly on the face and genitals. Empirical antibiotic therapy with vancomycin, cefotaxime and metronidazole was initiated, and then the antibiotic therapy was changed to ceftriaxone. There was a rapid progression that required an amputation of the lower legs. Conclusions: Acute infectious purpura fulminans is a life-threatening disease that requires intensive treatment, but early cutaneous manifestations may facilitate diagnosis and appropriate management.

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Section: Discussionmentioning

confidence: 99%

“…Rzadko obserwowane są natomiast przypadki AIPF w następstwie zakażenia bakteriami Gram-ujemnymi, np. z gatunku Klebsiella pneumoniae lub rzędu Enterobacterales [3,4].…”

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Acute infectious purpura fulminans

Czarny¹,

Czajkowska²,

Sikorska³

et al. 2022

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“…and varicella-zoster virus. 2,[7][8][9][10][11][12][13] Two earlier cases associated with Capnocytophaga were characterized by concomitant renal failure, metabolic acidosis, hemolytic anemia, and DIC. 14 It is estimated that Capnocytophaga causes 11% to 46% of all cases of sepsis 15 ; sepsis resulting from Capnocytophaga has extremely poor outcomes, with mortality reaching as high as 60%.…”

Section: A B Cmentioning

confidence: 99%

Purpura Fulminans in an Asplenic Intravenous Drug User

Nyers¹

2021

Cutis

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Capnocytophaga species are fastidious, slowgrowing microorganisms. It is important, therefore, to maintain a high degree of suspicion and alert the microbiology laboratory to increase the likelihood of isolation.• Patients should be cautioned regarding the need for prophylactic antibiotics in the event of an animal bite; asplenic patients are at particular risk for infection.• In patients with severe purpura fulminans and a gangrenous limb, it is important to allow adequate time for demarcation of gangrene and not rush to amputation.

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Acute infectious purpura fulminans with Enterobacter aerogenes post-neurosurgery

Cited by 2 publications

References 10 publications

Acute infectious purpura fulminans

Acute infectious purpura fulminans

Purpura Fulminans in an Asplenic Intravenous Drug User

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