case_images: PMC10752712_01
case_images: Clinical and pathological findings. (A) Peripheral blood smear showing gram-negative bacilli (arrow). (B, C) Upper extremity skin showing reddish skin discoloration. (D) Lower extremity skin changes with purpura fulminans.
case_images: CRICC2023-6618341.001.jpg
case_images: PMC10752712_01_CRICC2023-6618341.001.jpg
case_images: fig1
case_images: On day four, Capnocytophaga canimorsus, a capnophilic, facultative anaerobic, gram-negative rod, was identified (Figure 1(A)). While in the ICU, the patient developed bilateral upper and lower extremity skin mottling without Nikolsky's sign but with areas of bullae along the dorsum of the left foot, approximately 2 x 1 cm in diameter, consistent with purpura fulminans (Figures 1(B)-1(D)).