Indian tick typhus presenting as Purpura fulminans.

[typhoid]

Seriously ill patients presenting with purpura fulminans , sepsis and multi-organ failure often require extensive diagnostic workup for proper diagnosis and management . Host of common infections prevalent in the tropics , e .g . malaria , dengue ; other septicemic infections e .g . meningococcemia , typhoid , leptospirosis , toxic shock syndrome , scarlet fever , viral exanthems like measles , infectious mononucleosis , collagen vascular diseases (Kawasaki disease , other vasculitis ) diseases , and adverse drug reactions are often kept in mind , and the index of suspicion for rickettsial illness is quite low . We present a case of Indian tick typhus presenting with purpura fulminans (retiform purpura all over the body ), sepsis and multiorgan failure without lymphadenopathy and eschar , successfully treated with doxycycline and discharged home . Hence , a high index clinical suspicion and prompt administration of a simple therapy has led to successful recovery of the patient .

Diseases
Validation

Diseases presenting "sepsis" symptom

acute rheumatic fever

carcinoma of the gallbladder

congenital diaphragmatic hernia

cushing syndrome

cystinuria

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

focal myositis

harlequin ichthyosis

heparin-induced thrombocytopenia

hirschsprung disease

homocystinuria without methylmalonic aciduria

inclusion body myositis

junctional epidermolysis bullosa

kindler syndrome

lamellar ichthyosis

locked-in syndrome

malignant atrophic papulosis

megacystis-microcolon-intestinal hypoperistalsis syndrome

monosomy 21

primary effusion lymphoma

primary hyperoxaluria type 1

pyomyositis

scrub typhus

systemic capillary leak syndrome

typhoid

This symptom has already been validated