Acute infectious purpura fulminans with Enterobacter aerogenes post-neurosurgery | Zendy

Shinya Yamamoto | Zendy; Ryoji Ito | Zendy

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Acute infectious purpura fulminans with Enterobacter aerogenes post-neurosurgery

Author(s) -

Shinya Yamamoto,

Ryoji Ito

Publication year - 2019

Publication title -

idcases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.319

H-Index - 13

ISSN - 2214-2509

DOI - 10.1016/j.idcr.2019.e00514

Subject(s) - medicine , purpura fulminans , bacteremia , neisseria meningitidis , sepsis , septic shock , streptococcus pneumoniae , autopsy , coma (optics) , surgery , microbiology and biotechnology , antibiotics , genetics , physics , optics , bacteria , biology

Acute infectious purpura fulminans (AIPF) is a rare, life-threatening disease commonly caused by Neisseria meningitidis and Streptococcus pneumoniae. Gram-negative rods are rarely involved. We described a case of AIPF associated with Enterobacter bacteremia in a 48-year-old man admitted for subarachnoid hemorrhage treatment. After surgical clipping for intracranial aneurysms, septic shock, multiple organ failure, and extensive purpura on the skin developed. Enterobacter aerogenes bacteremia was detected and AIPF was diagnosed. His condition progressively worsened and he died on day 19. Autopsy showed multiple abscesses and thrombosis in the lung, intestinal tract, and kidney.

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