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Indian Tick Typhus Presenting as Gangrene: a Case Report
Nabaneeta Dash1, Vijayasree Gonttumukkula1, Prasanna Samyanathan1
1From the Departments of Pediatrics.
Abstract:
Rickettsial infections are an important cause of acute febrile illness in developing countries. They can rarely present with cutaneous manifestations such as gangrene. Here we report a 12-year-old boy who presented with acute undifferentiated fever, multiorgan dysfunction, and gangrene of bilateral toes and ear lobes. The diagnosis was made by serologic testing of paired sera and clinical recovery occurred with doxycycline.
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