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CASE REPORT
Year : 2013  |  Volume : 2  |  Issue : 4  |  Page : 393-395

Purpura fulminans associated with hemiparesis following measles infection in a Nigerian girl: A case report


Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University, Kano, Nigeria

Correspondence Address:
Aliyu Ibrahim
Department of Paediatrics, Aminu Kano Teaching Hospital, +234 Kano - 700 001
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.123938

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Purpura fulminans is a life-threatening hematologic emergency characterized by extensive skin necrosis with hemorrhagic infarction, hypotension and gangrene which may arise from severe sepsis; mostly gram negative sepsis though also associated with some gram positive organisms, similarly viral infections like varicella and measles have been implicated; it may also arise from congenital deficiency of the anticoagulants protein C, S, and antithrombin III; and it may also be idiopathic. Its clinical manifestation may be quite extensive resulting in multiorgan failure. Treatment will require aggressive management with use of fresh frozen plasma, heparin, antibiotics, and surgical debridement of necrotic tissue.


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