Purpura fulminans (PF) is a haemorrhagic condition that can occur with sepsis such as meningococcal septicaemia (Nolan and Sinclair, 2001). This can result in soft tissue and skin necrosis and can be further complicated by the development of compartment syndrome. This disabling condition often requires surgical intervention and limb amputation (Betrosian et al, 2006). The case report presented here describes the use of maggot therapy to safely and effectively debride extensive areas of necrosis while decolonising the wound