Key result
Doxycycline resolves an unusual case of scrub typhus featuring cutaneous vasculitis and polyarthralgia.
Case Report (n=1)
Highlights an unusual presentation of scrub typhus with cutaneous vasculitis and polyarthralgia that responds to doxycycline.
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Alerts clinicians to scrub typhus in vasculitis mimics; single case leaves doxycycline efficacy open to confirmation.
Leukocytoclastic vasculitis and polyarthralgia in scrub typhus: An unusual presentationScrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi.It is of greatest public health importance in tropical rural Asia.The clinical manifestations of the disease range from sub-clinical to fatal organ failure.The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy and gastrointestinal disturbances.The fi rst presentation with cutaneous vasculitis and polyarthralgia is rare and unusual.We report a case of scrub typhus that presented with cutaneous vasculitis and polyarthralgia, which is very unusual and patient recovered with doxycycline treatment.
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Kumar et al. (2013) conducted a case report in Scrub typhus with cutaneous vasculitis and polyarthralgia (n=1). Doxycycline was evaluated on Recovery. A patient with an unusual presentation of scrub typhus featuring cutaneous vasculitis and polyarthralgia successfully recovered following treatment with doxycycline.
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