Sepsis skin changes A41.9 + Hauterkrankung

Rare skin symptoms in sepsis caused mainly by meningococcus, gonococcus and Pseudomonas aeroginosa, either by haematogenic pathogen seeding or infectious allergic(vasculitis) or toxic (bacterial toxins).

Diseases that can trigger sepsis:

• agammaglobulinemia, congenital, Bruton type
• Angina, streptococcal angina
• Anthrax of the skin
• Candida sepsis
• Coxsackie virus infection
• Decubitus
• Ecthyma gangraenosum
• Ekthyma
• endocarditis gonorrhoica
• Epidermolysis bullosa dystrophica, Hallopeau-Siemens
• Epidermolysis bullosa junctionalis with pyloric atresia
• Epidermolysis bullosa junctionalis, Herlitz
• Epidermolysis bullosa junctionalis, non-Herlitz
• Boils
• Gonococcal sepsis
• Gonorrhoea, endocarditis gonorrhoica
• Herpespsis of the newborns
• suppurative hidradenitis
• Histoplasmosis
• Leishmaniasis, South American
• Listeriosis
• Myonecrosis, clostridial ( gas gangrene)
• pemphigus foliaceus
• pemphigus vulgaris
• Plague
• gonorrhoea prostatitis
• Scarlet fever, septic
• Stevens-Johnson syndrome
• Toxic epidermal necrolysis
• Waterhouse Friderichsen Syndrome

1-2 mm large pustules with erythematous rim, possibly vesicles, papules, ulcerations ( Ecthyma gangraenosum), usually acral localized (bacterial embolisms).

Infectious/toxic: petechiae, ecchymoses, purpura fulminans, ulcerations. S.a.u. Waterhouse-Friderichsen-Syndrome.

In rare septic vasculitis, vasculitic symptoms appear on vessels without direct infection of the vessels. Affected are the dermal capillaries mostly accompanied by disseminated intravascular coagulation (DIC).