DOI: 10.12890/2022_003670

Fulminans Purpura due to Morganella morganii

Authors

  • Mariana Guerra Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Daniela Marado Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal

gguerra.mariana@gmail.com

Keywords

Purpura fulminans, Morganella morganii

Abstract

Purpura fulminans (PF) is a dermatological manifestation of a life-threatening condition characterized by disseminated intravascular coagulation and endovascular thrombosis. The idiopathic/infectious form is the most common and usually associated with infection by Neisseria meningitidis or Streptococcus pneumoniae. We describe a case of Morganella morganii-induced bacteriaemia complicated with PF in an individual who had undergone a recent urinary tract infection intervention. The patient presented with purpuric skin lesions, fever and hypotension but had no alterations in coagulation parameters or disseminated intravascular coagulation. Aggressive early resuscitation, intravenous antibiotics and wound care were essential to a favourable response.

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References

  1. Brown DL, Greenhalgh DG, Warden GD. Purpura fulminans: a disease best managed in a burn center. J Burn Care Rehabil 1998;19:119–123.
  2. McDermott C, Mylotte JM. Morganella morganii: epidemiology of bacteremic disease. Infect Control 1984;5:131–137.
  3. Lee IK, Liu JW. Clinical characteristics and risk factors for mortality in Morganella morganii bacteremia. J Microbiol Immunol Infect 2006;39:328–334.
  4. Salen PN, Eppes S. Morganella morganii: a newly reported, rare cause of neonatal sepsis. Acad Emerg Med 1997;4:711–714.
  5. Lamadrid-Zertuche AC, Garza-Rodríguez V, Ocampo-Candiani JJ. Pigmented purpura and cutaneous vascular occlusion syndromes. An Bras Dermatol 2018;93(3):397–404. Available from https://doi.org/10.1590/abd1806-4841.20187459

Published

2022-11-21

Issue

Vol. 9 No. 11 (2022)

How to Cite

1.
Guerra M, Marado D. Fulminans Purpura due to Morganella morganii. EJCRIM [Internet]. 2022 Nov. 21 [cited 2026 Nov. 3];9(11). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3670

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