Copyright © 2017 American Academy of Pediatrics. From: Meningococcal Infections Red Book® 2015, 2015 Figure Legend: This 4-month-old white female infant presented with fever and an otherwise normal examination except for a single petechia on her hip, which the mother thought was a diaper pin injury. Over the next few hours a rapidly progressive generalized petechial rash developed resulting in several areas of cutaneous necrosis despite appropriate antibiotic administration. Neisseria meningitidis was cultured from her spinal fluid. Courtesy of Ed Fajardo, MD Date of download: 11/8/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.