RT Journal
A1 BERTLING FE
T1 CAse of purpura fulminans
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1909
FD July 31
VO LIII
IS 5
SP 383
OP 383
DO 10.1001/jama.1909.92550050041003f
UL http://dx.doi.org/10.1001/jama.1909.92550050041003f
AB The patient was a healthy young man, aged 18. He awoke in the morning with a severe sore throat. He used hydrogen peroxid as a gargle and went to work as usual. In the evening his throat was not much better, so he used the peroxid gargle again. The next morning I was summoned and found him with a temperature of 106 F. and a very severe membranous angina. Owing to the presence of scarlet fever in the near neighborhood, I made a provisional diagnosis of scarlet fever, but took a culture for diphtheria nevertheless. My scarlet fever diagnosis was apparently justified, for that evening there was a brilliant scarlet rash all over the neck, chest and abdomen, which by the next morning also covered the lower limbs. At noon of this day a bluish-black discoloration appeared on the upper part of each thigh and the lower part