Purpura fulminans and coxsackie B-2 co-infection

introduction During septic shock in children, myocardial deficiency usually lasts 3 to 6 days, When prolonged, an other etiology should be looked for. Observation A 29 month-old child presented with purpura fulminans, probably due to Neisseria meningitidis. Positivity of the serodiagnostic for coxsac kie B-2, performed because of persisting myocardial deficiency, evoked diag nosis of a coxsackie B-2 co-infection. Discussion Abnormally prolonged myocardial deficiency during purpura fulmin ans must lead to the search for a congenital, metabolic or infectious cardi omyopathy.