Seven children with purpura fulminans are reported. All were very sick and had extensive purpuric and ecchymotic skin lesions. Five of them had septicemia, one had meningitis and one had viral respiratory tract infection. The bacteria cultured were Staphylococcus aureus (1), Hemophilus influenzae (1), Pseudomonas aeroginosa (1), Klebsiella pneumoniae (1) and Neisseria meningitidis (2). Consumptive coagulopathy was present in all. Three of the seven children survived. Of the remaining four, two had fulminant meningococcemia and died within 4–5 hours of admission as also a third child with Kleb. pneumoniae septicemia. Two of the three survivors had received heparin as well as steroids apart from treatment of the infection.