A Life Threatening Rash, an Unexpected Cause

We describe a 74-year-old man with purpura fulminans and altered sensorium following an acute febrile illness. Intensive sepsis management was to no avail, until institution of doxycycline therapy following confirmation of scrub typhus. Empirical doxycycline needs to be considered in endemic areas f...

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Main Authors: Dhiraj Jain, Stalin Viswanathan, Chandramohan Ramasamy
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2014/146251
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author Dhiraj Jain
Stalin Viswanathan
Chandramohan Ramasamy
author_facet Dhiraj Jain
Stalin Viswanathan
Chandramohan Ramasamy
author_sort Dhiraj Jain
collection DOAJ
description We describe a 74-year-old man with purpura fulminans and altered sensorium following an acute febrile illness. Intensive sepsis management was to no avail, until institution of doxycycline therapy following confirmation of scrub typhus. Empirical doxycycline needs to be considered in endemic areas for patients presenting with purpura fulminans.
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series Case Reports in Dermatological Medicine
spelling doaj-art-4756acbf95864f7586517a00a9daf66b2025-02-03T06:01:19ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712014-01-01201410.1155/2014/146251146251A Life Threatening Rash, an Unexpected CauseDhiraj Jain0Stalin Viswanathan1Chandramohan Ramasamy2Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, IndiaDepartment of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, IndiaDepartment of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, IndiaWe describe a 74-year-old man with purpura fulminans and altered sensorium following an acute febrile illness. Intensive sepsis management was to no avail, until institution of doxycycline therapy following confirmation of scrub typhus. Empirical doxycycline needs to be considered in endemic areas for patients presenting with purpura fulminans.http://dx.doi.org/10.1155/2014/146251
spellingShingle Dhiraj Jain
Stalin Viswanathan
Chandramohan Ramasamy
A Life Threatening Rash, an Unexpected Cause
Case Reports in Dermatological Medicine
title A Life Threatening Rash, an Unexpected Cause
title_full A Life Threatening Rash, an Unexpected Cause
title_fullStr A Life Threatening Rash, an Unexpected Cause
title_full_unstemmed A Life Threatening Rash, an Unexpected Cause
title_short A Life Threatening Rash, an Unexpected Cause
title_sort life threatening rash an unexpected cause
url http://dx.doi.org/10.1155/2014/146251
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AT dhirajjain lifethreateningrashanunexpectedcause
AT stalinviswanathan lifethreateningrashanunexpectedcause
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