Purpura fulminans-a rare complication post COVID-19 infection in children

Coronavirus disease 2019 (COVID-19) was officially declared as a pandemic in March 2020. COVID-19 infection and the post infectious sequalae has been widely researched since then. Post infectious inflammatory sequalae and its associated complications like toxic shock syndrome, Kawasaki like disease, macrophage activation syndrome, rather than the infection per se was found to be more of a concern in children, leading to more morbidity and mortality. Purpura fulminans was not a presentation reported post COVID-19 infection. Herein, we aim to describe a post COVID-19 infection patient who presented with purpura fulminans as a rare complication.

Interesting case of acute pancreatitis secondary to leptospirosis

Leptospirosis caused by Leptospira icterohemorrhagica is a severe, acute condition which can be complicated by multi-organ dysfunction renal failure, liver failure (jaundice), acute respiratory distress syndrome, rhabdomyolysis and bleeding manifestations such as petechiae, epistaxis, hematemesis, hemoptysis, malena, commonly we see characteristic conjunctival suffusion and may lead to fatal multiple organ dysfunction. Leptospirosis may be mistaken for diverse infectious diseases such as malaria, dengue fever, rickettsial disease, ehrlichiosis or hantavirus infection which may mimic leptospirosis. We reported an interesting and rare case of leptospirosis with acute pancreatitis who had a prolonged course.