Streptococcus pneumoniae-induced purpura fulminans.
A 60-year-old man presented to the emergency department owing to a 2-day history of frequent vomiting and diarrhea, and fever. He had not undergone abdominal surgery, did not have an immunocompromised status, and had not received vaccination against pneumococcus. Clinical examination revealed high-grade fever, tachycardia, low blood pressure and systemic purpura lesions on the skin (Figure 1A). Laboratory analysis results indicated leukocytosis (white cell count, 22 …