Neonatal Purpura Fulminans Associated with Early-Onset Gram-Negative Enterobacter Septicemia: A Case Report

Atay E., Akin M., Yüzkollar E., Atay Z., Dursun E., Ceran Ö.

International Pediatrics, vol.18, no.3, pp.162-163, 2003 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 3
  • Publication Date: 2003
  • Journal Name: International Pediatrics
  • Journal Indexes: Scopus
  • Page Numbers: pp.162-163
  • Keywords: Disseminated Intravascular Coagulation (DIC), Enterobacter septicemia neonatal purpura fulminans, Purpura fulminans (PF)
  • Istanbul Medipol University Affiliated: Yes


Neonatal purpura fulminans (PF) associated with early-onset enterobacter septicemia is rare. PF presents as a catastrophic illness with gangrene of the distal extremities and necrosis of the skin. The clinical picture consists of septicemia, shock and disseminated intravascular coagulation (DIC). A 3-day old infant is presented with hematuria; bleeding from umbilicus; erythema and ecchymosis on the left gluteal region, both elbows and knees. Enterobacter was isolated from hemoculture. The patient had the diagnosis of septicemia and DIC caused by enterobacter. Unfortunately, the patient died on the 20 th day of admission due to septicemia caused by coagulase-negative staphylococci.