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| CASE REPORT |
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| Year : 2014 | Volume
: 60
| Issue : 2 | Page : 198-199 |
Acute infectious purpura fulminans due to probable spotted fever
A Kundavaram1, NR Francis1, AP J Jude2, GN Varghese1
1 Department of Medicine, Christian Medical College, Vellore, Tamilnadu, India
2 Department of Microbiology, Christian Medical College, Vellore, Tamilnadu, India
Correspondence Address:
Dr. A Kundavaram
Department of Medicine, Christian Medical College, Vellore, Tamilnadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0022-3859.132345
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.
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