Figure 1:(A) Rapidly spreading systemic gangrene and erythematous rash in a 60-year-old
man with hyposplenism (inset: close-up of his left finger).(B) Computed tomographic image …

Acute infectious purpura fulminans (AIPF) is characterized by rapidly progressive ischemic
necrosis of the extremities, disseminated intravascular coagulopathy and multiorgan failure …

A 33-year-old woman presented with rapid progressive rash. She complained of a
headache, arthralgia, with fever since the previous day, treated with Laninamivir for …

A 37-year-old woman presented to the emergency department with fever, chills, and pain in
her right knee and left ankle. Although her history was significant for schizophrenia, she was …

A 44-year-old man presented to an emergency department with high fever and sore throat.
He had no medical history other than pneumococcal purpura fulminans resulting in partial …

A 60-year-old man presented to the emergency department owing to a 2-day history of
frequent vomiting and diarrhea, and fever. He had not undergone abdominal surgery, did …

A female infant is born at an estimated gestational age of 35 weeks at an outside hospital to
a 20-year-old gravida 3, para 2 mother. The pregnancy had been complicated by limited …

A 34-year-old man with controlled type 1 diabetes presented with recurrent left flank pain,
intermittent left shoulder pain, mild chills, and nocturnal sweats. He lost 5 lbs over the past 2 …

A 52-year-old woman with diabetes presented with a fever and right flank pain that had
lasted three days. An examination revealed diffuse abdominal rebound tenderness, right …

FIGURE 1. Ecthyma gangrenosum caused by Pseudomonas fluorescens in a patient with
systemic lupus erythematosus. Warm, tender, erythematous to gray plaque on the patient's …