A pilgrim's progress: severe Rickettsia conorii infection complicated by gangrene

Puvesh Punj, Renjy Nelson, Sarah Gardiner, Michelle Lodge, Stephen R Graves and Morgyn S Warner
Med J Aust 2013; 198 (11): . || doi: 10.5694/mja13.10025
Published online: 17 June 2013

This challenging case of acute febrile illness and rapidly evolving petechial rash and digital gangrene in a traveller who returned from North India and highlights the need for a high index of suspicion for rickettsial infection in returned travellers.

  • Puvesh Punj1
  • Renjy Nelson1
  • Sarah Gardiner1
  • Michelle Lodge1
  • Stephen R Graves2
  • Morgyn S Warner1,3

  • 1 Queen Elizabeth Hospital, Adelaide, SA.
  • 2 Australian Rickettsial Reference Laboratory, Geelong
  • 3 SA Pathology, Adelaide, SA.

Competing interests:

No relevant disclosures.


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