Acute infectious purpura fulminans due to probable spotted fever

作者:Kundavaram A*; Francis N R; Jude A P J; Varghese G M
来源:Journal of Postgraduate Medicine, 2014, 60(2): 198-199.
DOI:10.4103/0022-859.132345

摘要

Purpura fulminans (PF) is associated with several infections, most notably with meningococcus, staphylococcus, and streptococcus infections. However, there are few reports of association of this entity with spotted fever from India. We report the case of a 55-year-old man who presented with fever, headache, and myalgia. On the seventh day of fever he developed nonblanching purple hemorrhagic purpura on the trunk and most prominently on the extremities consistent with purpura fulminans. Immunofluorescent assay confirmed the diagnosis of spotted fever. PF though common with rocky mountain spotted fever (RMSF) is rarely seen in association with Indian tick typhus, the usual cause of spotted fever in India.

  • 出版日期2014-6

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