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Arch Dis Child Fetal Neonatal Ed 98:F76-F77 doi:10.1136/fetalneonatal-2011-300907
  • Images in neonatal medicine

Purpura fulminans in an acute preterm neonate

  1. G Hartnoll2
  1. 1Department of Neonatology, Chelsea and Westminster Hospital, London, UK
  2. 2Department of Plastic Surgery, Chelsea and Westminster Hospital, London, UK
  1. Correspondence to Dr James Church, Department of Paediatrics, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK; james.church{at}doctors.org.uk
  • Received 27 October 2011
  • Accepted 9 November 2011

A baby was delivered by ventouse assistance at 35+6 weeks gestation following prolonged rupture of membranes and fetal distress in the second stage of labour. He was started on intravenous cefotaxime but at 13 h of age deteriorated with signs of septic shock and respiratory distress. He was admitted to the neonatal intensive care unit for resuscitation and ventilation. Blood cultures taken at 3 …

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