Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia

Figure 2

(a) A second chest X-ray showed bilateral consolidation with a snowflake pattern (8 h upon admission). (b) Chest computed tomography of the lungs demonstrated diffuse bilateral alveolar and interstitial infiltrations with a presentation compatible with acute respiratory distress syndrome (ARDS).

(a)

(b)