{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T13:36:23Z","timestamp":1769520983148,"version":"3.49.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,10,7]]},"abstract":"<jats:p>A previously healthy man presented with fever for 2 days and rapidly progressive purpuric rash for 1\u2009day. He progressed into hypotension, disseminated intravascular coagulation and refractory shock despite resuscitation and early antibiotic commencement. Blood culture grew <jats:italic>Streptococcus pneumoniae<\/jats:italic>. This case report highlights the fact that purpura fulminans can be a rare presentation of <jats:italic>S. pneumoniae<\/jats:italic> infection as well.<\/jats:p>","DOI":"10.1136\/bcr-2017-221150","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T10:40:21Z","timestamp":1508496021000},"page":"bcr-2017-221150","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Purpura Fulminans: A rare presentation of <i>Streptococcus Pneumoniae<\/i> infection"],"prefix":"10.1136","volume":"2017","author":[{"given":"Hock Gin","family":"Teo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Sibu Hospital, Petaling Jaya, Sarawak, Malaysia"},{"name":"Department of Medicine, Segi University, Sibu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Yet","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Sibu Hospital, Petaling Jaya, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy Lee Lyee","family":"Ting","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Sibu Hospital, Petaling Jaya, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,20]]},"reference":[{"key":"2025082804050753000_2017.oct20_1.bcr-2017-221150.1","doi-asserted-by":"publisher","DOI":"10.1615\/JEnvironPatholToxicolOncol.v27.i3.30"},{"key":"2025082804050753000_2017.oct20_1.bcr-2017-221150.2","doi-asserted-by":"crossref","unstructured":"Alvarez EF , Olarte KE , Ramesh MS . Purpura fulminans secondary to Streptococcus pneumoniae meningitis. Case Rep Infect Dis 2012;508503.doi:10.1155\/2012\/508503","DOI":"10.1155\/2012\/508503"},{"key":"2025082804050753000_2017.oct20_1.bcr-2017-221150.3","first-page":"1010","article-title":"A case of acute purpura fulminans caused by Streptococcus pneumoniae","volume":"56","author":"Pinky","year":"2016","journal-title":"Consultant"},{"key":"2025082804050753000_2017.oct20_1.bcr-2017-221150.4","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcw060"},{"key":"2025082804050753000_2017.oct20_1.bcr-2017-221150.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.1999.01186.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221150","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:05:16Z","timestamp":1756379116000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,20]]},"references-count":5,"alternative-id":["10.1136\/bcr-2017-221150"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221150","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,20]]}}}