{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:17Z","timestamp":1745812877570,"version":"3.40.4"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,1,27]]},"abstract":"<jats:p>A 52-year-old man was admitted with a cutaneous rash associated with septic shock and multiorganic failure, 6\u2005days after a dog bite. He was started on empiric antibiotherapy and supportive measures. The patient's condition aggravated, with need for invasive mechanical ventilation and intermittent haemodialysis, and evolution from a petechiae-like rash to purpura and gangrene, culminating in bilateral lower limb amputation. The blood cultures revealed only<jats:italic>Pasteurella multocida<\/jats:italic>, after 10\u2005days of incubation.<jats:italic>P multocida<\/jats:italic>infection is a rare cause of soft tissue infection that subsides with oral antibiotherapy. Infections causing sepsis are rare and appear in immunocompromised patients.<jats:italic>Purpura fulminans<\/jats:italic>induced by sepsis is a rare, life-threatening disorder. This syndrome should be recognised promptly, so early treatment is instituted. We found no case reports of<jats:italic>purpura fulminans<\/jats:italic>caused by<jats:italic>Pasteurella<\/jats:italic>infections in our literature review.<\/jats:p>","DOI":"10.1136\/bcr-2013-202441","type":"journal-article","created":{"date-parts":[[2014,2,19]],"date-time":"2014-02-19T09:58:53Z","timestamp":1392803933000},"page":"bcr2013202441","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Sepsis-induced purpura fulminans caused by<i>Pasteurella multocida<\/i>"],"prefix":"10.1136","volume":"2014","author":[{"given":"Lisa","family":"Borges","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"C\u00e1ssio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humberto","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,19]]},"reference":[{"key":"2025042702405874000_2014.feb19_1.bcr2013202441.1","unstructured":"Weber DJ Rutais WA Kaplan SL . 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