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A case of Henoch-Schönlein purpura associated with scrub typhus
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A case of Henoch-Schönlein purpura associated with scrub typhus
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A case of Henoch-Schönlein purpura associated with scrub typhus
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Journal Article
A case of Henoch-Schönlein purpura associated with scrub typhus
2020
Overview
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.
