title: A life threatening rash, an unexpected cause.
abstract: 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.
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India.
authors.forename: Dhiraj
authors.initials: D
authors.lastname: Jain
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India.
authors.forename: Stalin
authors.identifier: 0000-0001-5861-5161
authors.initials: S
authors.lastname: Viswanathan
authors.affiliation: Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
authors.forename: Chandramohan
authors.initials: C
authors.lastname: Ramasamy