TY - JOUR T1 - CAse of purpura fulminans AU - BERTLING FE Y1 - 1909/07/31 N1 - 10.1001/jama.1909.92550050041003f JO - Journal of the American Medical Association SP - 383 EP - 383 VL - LIII IS - 5 N2 - 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 SN - 0002-9955 M3 - doi: 10.1001/jama.1909.92550050041003f UR - http://dx.doi.org/10.1001/jama.1909.92550050041003f ER -