A 38-year-old man presented with a 1-day history of fever, chills, and diarrhea, with a petechial rash over his trunk, arms, and legs. His condition quickly deteriorated to septic shock, and the rash developed into widespread, large, ecchymotic lesions with diffuse purpura.
The most likely diagnosis is
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Neutrophilic vasculitis
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Rocky Mountain spotted fever
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Meningococcemia
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Viral exanthem
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Gonococcemia
Answer on page 895
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