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Monatsschrift Kinderheilkunde

, Volume 160, Issue 6, pp 545–555 | Cite as

Infektionsassoziierte Hautblutungen

  • R. Elling
  • M. Hufnagel
  • P. HennekeEmail author
Leitthema

Zusammenfassung

Eine Vielzahl von bakteriellen, viralen oder parasitären Infektionserkrankungen kann mit hämorrhagischen Effloreszenzen einhergehen. Die Symptomkonstellation Fieber und Petechien kann Vorbote einer fulminanten bakteriellen Sepsis sein, die einer sofortigen intensiven Therapie zugeführt werden muss. Viel häufiger liegt der Symptomatik aber ein harmloser selbstlimitierender Virusinfekt zugrund, sodass man in Bezug auf das Ausmaß der notwendigen Diagnostik vor einem Dilemma steht. Der vorliegende Beitrag gibt eine Übersicht über die Differenzialdiagnosen und Pathophysiologie infektionsassoziierter Hautblutungen, und es wird ein differenzialdiagnostischer Algorithmus für die Diagnosefindung bei der Konstellation Fieber plus Petechien vorgeschlagen.

Schlüsselwörter

Petechien Purpura Sepsis Meningitis Neisseria meningitidis 

Hemorrhagic skin lesions associated with infections

Abstract

A broad spectrum of bacterial, viral, and parasitic infections is associated with hemorrhagic skin lesions, typically petechiae. The most prominent underlying entity is fulminant bacterial sepsis, which requires urgent and intensive treatment. In most cases, however, a self-limiting viral disease is the underlying cause. Thus, the pediatrician frequently encounters a diagnostic dilemma between timely diagnosis of sepsis and unnecessary invasive diagnostics. This article reviews the broad differential diagnosis and pathophysiology of infection-associated hemorrhagic skin lesions and proposes a diagnostic algorithm for the combination of fever and petechiae.

Keywords

Petechiae Purpura Sepsis Meningitis Neisseria meningitidis 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Zentrum für Kinder- und JugendmedizinUniversitätsklinikum FreiburgFreiburgDeutschland
  2. 2.Centrum für Chronische Immundefizienz (CCI)Universitätsklinikum FreiburgFreiburgDeutschland

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