A case of Henoch-Schönlein purpura associated with scrub typhus.
BMC Infect Dis
; 20(1): 286, 2020 Apr 17.
Article
em En
| MEDLINE
| ID: mdl-32303196
ABSTRACT
BACKGROUND:
Henoch-Schönlein purpura (HSP) may be caused by several allergens. However, to date, HSP caused by Orientia tsutsugamushi has not been reported. Here, we report an unusual rash with features of HSP caused by Orientia tsutsugamushi. CASE PRESENTATION A man visited a tertiary hospital with bilateral symmetrical purpura and fever. He presented with an eschar in the left popliteal fossa and proteinuria. He was diagnosed with tsutsugamushi disease by indirect fluorescent antibody and positive polymerase chain reaction tests. Purpura biopsy demonstrated a feature of leukocytoclastic vasculitis and IgA deposition in dermal vessels, indicative of HSP.CONCLUSIONS:
When examining patients with unique rashes, such as in this case, we suggest investigating out-door activities and evidence of mite bites. Furthermore, differential diagnosis of tsutsugamushi disease should be considered when necessary.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Vasculite por IgA
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Orientia tsutsugamushi
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Tifo por Ácaros
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article