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Figure 1. Two hours after the onset of fever and malaise, a 15-year-old boy began to have tachycardia and tachypnea and became unconscious. He was taken to the intensive care unit, where he was found to be in septic shock (pulse, 180; blood pressure, 70/45 mm Hg; temperature, 40.2°C; and partial-thromboplastin time, 90 seconds). He had bullous lesions about the elbow and confluent petechial and purpuric lesions on his face, arms, and legs (Panel A). His hands and feet were cool and cyanotic. He had no signs of meningeal irritation. He was intubated, placed on cardiopulmonary support, and given . . . [Full Text of this Article] |
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