A 3-year-old boy presented to a clinic with complaints of fever, vomiting, and skin lesions. Physical examination The physical examination of the patient revealed - Small purpura on his legs ( Figure 1 ) Lesions that had subsequently spread to his face, limbs, and abdomen in the next 3 hours at the clinic.

Treatment The patient was treated with Broad-spectrum antibiotic agents Blood specimens were obtained for culture analysis. Further clinical manifestations In the next six hours, the patient developed - Enlarged purpura lesion, which had spread further Signs of septic shock Blood culture results The blood culture showed growth of Neisseria meningitides, serotype B Further clinical manifestations In the next 48 hours, the patient showed - Clinical improvement Receding of smaller lesions Lesions over his right wrist and lower leg had evolved into well-demarcated bullae with recessed…