Purpuric Epiglottic Lesion in Purpura Fulminans Form of Meningococcemia

An 8-month-old infant with extensive petechial and purpuric rash was accepted to our pediatric intensive care unit (PICU). Patient’s purpuric rash involved the face, chest, and upper and lower extremities markedly (Figure 1A). The patient required intubation secondary to decompensated septic shock, and a purpuric lesion was noticed on the right side of the epiglottis during the initial attempt for intubation. A picture of the lesion was taken by video laryngoscopy (Figure 1B). This lesion was considered as a mucosal manifestation of purpura fulminans. Blood culture and cerebrospinal fluid polymerase chain reaction were positive for Neisseria meningitidis.