title: A non-travel related rash in a traveler.
abstract: A 45-year-old man was admitted for investigation of a symmetric lower limb rash associated with recurrent fever for two weeks following a hiking trip in Italy and Greece. He was treated for sepsis secondary to lower limb cellulitis with no clinical improvement and subsequently diagnosed withStreptococcus gallolyticusendocarditis mediating an infectious vasculitis.
authors.affiliation: Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Keith A
authors.initials: KA
authors.lastname: Sacco
authors.affiliation: Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Jed C
authors.initials: JC
authors.lastname: Cowdell
authors.affiliation: Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA; Associate Professor, Mayo College of Medicine, Rochester, MN, USA.
authors.forename: M Caroline
authors.initials: MC
authors.lastname: Burton
keywords: Infective endocarditis; Streptococcus gallolyticus; Traveler’s rash; Vasculitis