Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations

Purpura fulminans is a seldom seen manifestation of sepsis in the emergency department (ED). The morbidity and mortality of sepsis have been widely studied and reported; the hallmark of treatment is early recognition and intervention. In extreme cases, sepsis can cause widespread activation of the c...

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Detalles Bibliográficos
Autores principales: Frye, Kenneth L, McMaster, Brian C, Tomecsek, Kevin J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Dermatology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706265/
https://www.ncbi.nlm.nih.gov/pubmed/31467810
http://dx.doi.org/10.7759/cureus.4976
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author Frye, Kenneth L
McMaster, Brian C
Tomecsek, Kevin J
author_facet Frye, Kenneth L
McMaster, Brian C
Tomecsek, Kevin J
author_sort Frye, Kenneth L
collection PubMed
description Purpura fulminans is a seldom seen manifestation of sepsis in the emergency department (ED). The morbidity and mortality of sepsis have been widely studied and reported; the hallmark of treatment is early recognition and intervention. In extreme cases, sepsis can cause widespread activation of the coagulation cascade further complicating the treatment and recovery from the causative pathogen. We report two cases and their differing outcomes after presentation to the ED with similar dermatologic findings on initial physical exam.
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spelling pubmed-67062652019-08-29 Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations Frye, Kenneth L McMaster, Brian C Tomecsek, Kevin J Cureus Dermatology Purpura fulminans is a seldom seen manifestation of sepsis in the emergency department (ED). The morbidity and mortality of sepsis have been widely studied and reported; the hallmark of treatment is early recognition and intervention. In extreme cases, sepsis can cause widespread activation of the coagulation cascade further complicating the treatment and recovery from the causative pathogen. We report two cases and their differing outcomes after presentation to the ED with similar dermatologic findings on initial physical exam. Cureus 2019-06-23 /pmc/articles/PMC6706265/ /pubmed/31467810 http://dx.doi.org/10.7759/cureus.4976 Text en Copyright © 2019, Frye et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dermatology
Frye, Kenneth L
McMaster, Brian C
Tomecsek, Kevin J
Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title_full Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title_fullStr Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title_full_unstemmed Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title_short Purpura in the Emergency Room: Two Cases of Sepsis with Cutaneous Manifestations
title_sort purpura in the emergency room: two cases of sepsis with cutaneous manifestations
topic Dermatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706265/
https://www.ncbi.nlm.nih.gov/pubmed/31467810
http://dx.doi.org/10.7759/cureus.4976
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