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Purpura fulminans complicating puerperal sepsis: A case report

Reports of purpura fulminans (PF) complicating pregnancy and the puerperium period are limited in the existing literature. The present study reports a case of puerperal sepsis with multiple organ dysfunction causing disseminated intravascular coagulation (DIC) and PF. Written informed consent for this study was obtained from the patient. A 30-year-old P3L3 woman presented eight days postpartum, following an uneventful vaginal delivery, with high-grade fever, loose stools and cough for three days, and bluish discoloration of the right ankle which rapidly progressed to involve the limbs, abdomen, and perineum.