Case reports

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): 629-631.

doi:

10.5694/mja13.10025

Article
Authors
References

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 Punj, MB BS, Surgical Resident1

Renjy Nelson, MB BS, FRACP, Infectious Diseases Physician1

Sarah Gardiner, BM BS, Surgical Registrar1

Michelle Lodge, MB BS, FRACS, Plastic and Reconstructive Surgeon1

Stephen R Graves, FASM, FRCPA, PhD, Medical Director2

Morgyn S Warner, MD, FRACP, FRCPA, Clinical Microbiologist and Infectious Diseases Physician1,3

1 Queen Elizabeth Hospital, Adelaide, SA.

2 Australian Rickettsial Reference Laboratory, Geelong

3 SA Pathology, Adelaide, SA.

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