Fulminans Purpura due to Morganella morganii
  • Mariana Guerra
    Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal https://orcid.org/0000-0003-3946-6900
  • Daniela Marado
    Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal


Purpura fulminans, Morganella morganii


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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    Published: 2022-11-21
    Issue: 2022: Vol 9 No 11 (view)

    How to cite:
    Guerra M, Marado D. Fulminans Purpura due to Morganella morganii. EJCRIM 2022;9 doi:10.12890/2022_003670.