A rash that does not fade under pressure is a sign of meningococcal septicaemia (meningococcal bacteria can cause meningitis and septicaemia)
People with septicaemia may develop a rash of tiny ‘pin pricks’ which can develop into purple bruising.
THIS RASH DOES NOT FADE UNDER PRESSURE. DO THE GLASS TEST
- Press the side of a clear glass firmly against the skin
- Spots/rash may fade at first
- Keep checking
- Fever with spots/rash that do not fade under pressure is a medical emergency
- Do not wait for a rash. If someone is ill and getting worse, get medical help immediately
On dark skin, the spots/rash can be more difficult to see. Be aware of all meningitis signs and symptoms.
What is the rash?
- Meningococcal bacteria can cause meningitis and septicaemia
- People will often have both together
- When the bacteria are in the bloodstream, they multiply rapidly and begin to release endotoxins (poisons) from their outer coating
- The body’s natural defences have little effect on these poisons and eventually blood vessels become damaged. As septicaemia advances, it affects the whole body and can cause organ damage or failure. The rash associated with septicaemia is caused by blood leaking into the tissues under the skin
- It’s important to know that septicaemia can also cause other more specific symptoms to look out for (as well as the rash):
- Fever with cold hands and feet
- Joint or muscle pain
- Rapid breathing
- Stomach cramps and diarrhoea
Concerned about meningitis?
- If you live on your own, always make sure you tell someone if you are not feeling well. They can check up on you and take action if needed
- Trust your instincts. You know your loved ones, and your own body, best
- Describe the symptoms and say you think it could be meningitis or septicaemia
- Early diagnosis can be difficult. If you have had medical advice and are still worried, get medical help again