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Figure 1. Meningococcal Purpura.
Massive intracutaneous hemorrhages are apparent in a patient with meningococcemia. The bleeding is related in part to thrombocytopenia, which is often part of the syndrome of disseminated intravascular coagulation, and in part to vascular damage caused by the meningococci, which can often be found invading the blood vessels. The lesions shown here are sometimes referred to as "purpura fulminans" and are associated with a high mortality rate.
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