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WILLIAM HARVEY HALL, MD

Arch Intern Med. 1965;116(4):594-597.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PURPURA URPURA fulminans is a disorder characterized by the sudden onset of peripheral, symmetrical, apparently hemorrhagic lesions which usually become gangrenous. It is reported most often as a sequela of β-hemolytic streptococcal infections or any of several other conditions, including meningococcemia, pneumococcal sepsis, varicella, pregnancy, and myocardial infarction.^1-3 This is believed to be the first report of purpura fulminans in association with infection by β-hemolytic streptococci of Lancefield group B (Streptococcus agalactiae).

Report of a Case

The patient (BCH 382522), a 78-year-old Polish confectionary seller, entered the hospital on Aug 11, 1963, acutely ill with the chief complaint of being "sick." It was learned that he had been discharged eight days previously from another hospital with diagnoses of (1) arteriosclerotic heart disease, (2) chronic brain syndrome, (3) degenerative arthritis, and (4) benign prostatic hypertrophy for which he had undergone a transurethral resection. There was no history of rheumatic fever, . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

From the Department of Medicine, Baltimore City Hospitals, Johns Hopkins University, School of Medicine. Fellow in Medicine.

Footnotes
Received for publication Jan 28, 1965; accepted May 21.

Reprint requests to Gastro-Intestinal Section, Hospital of the University of Pennsylvania, Philadelphia, Pa 19104.

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