Re: Suspected sepsis: summary of NICE guidance
Thanks to Dr Rennie for this comment.
In fact, the picture of rash in a case of meningococcal sepsis was found for us by the BMJ picture editor.
A small patch of purpura is clearly visible near the right axilla, although the main picture shows a more non-specific rash. This picture exemplifies the variable nature of meningococcal rashes – some patients have no rash, some a petechial rash and some the characteristic purpura.
Competing interests: I am co-author of the paper in question and was Chair of the NICE Guideline Development Group for GC51