Abstract

GIRALDO SANCHEZ, Javier Mauricio. Purpura fulminans related with antithrombin III deficiency in critical ill patient with Enterococcus faecalis isolation. Med. crít. (Col. Mex. Med. Crít.) [online]. 2022, vol.36, n.6, pp.387-392.  Epub Aug 18, 2023. ISSN 2448-8909.  https://doi.org/10.35366/107462.

Coexistence between fibrinolytic failure and the presence of infection is more common than it seems; unfortunately it often is not recognized and is conceived as incidental; leading to vascular catastrophes and serious endothelial dysfunctions. We present the case of a young adult who debuts with purpura fulminans related to Enterococcus faecalis isolation in the clinical setting of antithrombin III deficiency and thromboembolic pulmonary disease. According to the hemodynamic profile referred and electrical manifestations presented, markers of fibrinolytic activity were documented, for which it was taken to pulmonary perfusion documenting thromboembolic lung disease. He evolves favorably and is transferred to continue medical health care by the services of pulmonology and hematology.

Keywords : antithrombin III; sepsis; perfusion; plasminogen; thromboembolism.

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