Use of prostacyclin (iloprost) in digital vasculitis secondary to meningococcaemia.

Extrameningeal complications of meningococcal septicaemia occur in about 11–19% of cases, and include myocarditis, acute renal failure, arthritis, pneumonia, skin gangrene, conjunctivitis, endocarditis, pericarditis, endophthalmitis, urethritis, WaterhouseFriderichsen syndrome, vasculitis, and digital ischaemia. We describe the use of a prostacyclin analogue in the treatment of cutaneous digital ischaemia in a patient with meningococcal meningoencephalitis and meningococcaemia.