Pediatric Infectious Diseases: Open Access

Disseminated Staphylococcal Infection Induced Rapidly Progressive Gangrene of Skin in a Preterm Neonate-Purpura Fulminans

A preterm (34 weeks) 1.5 kg, 72 hours old male neonate presented with letharginess, vomiting, and black patches over body since 24 hours. On examination baby was in shock and there was disseminated gangrenous skin patches over bilateral upper and lower limb (Figures 1 and 2), back and abdomen. Child was intubated, resuscitated and kept on ventilation and inotropes. Investigation reveals haemoglobin 12.3 gm, Leucocytosis, thrombocytopenia, deranged kidney function test and coagulation profile. Culture from gangrenous skin and blood showed growth of Staphylococcus aureus. Appropriate supportive management was contemplated but child ultimately succumbed within 24 hours of admission.

Author(s):

Sisodiya RS, Ratan KS

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