A case of Henoch-Schönlein purpura associated with scrub typhus

Abstract 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 hospi...
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Autor*in:	Jae Hyoung Im [verfasserIn] Suk Jin Choi [verfasserIn] Moon-Hyun Chung [verfasserIn] Seung Yun Lee [verfasserIn] Young Kyoung Park [verfasserIn] Hea Yoon Kwon [verfasserIn] Ji Hyeon Baek [verfasserIn] Jin-Soo Lee [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report

Übergeordnetes Werk:	In: BMC Infectious Diseases - BMC, 2003, 20(2020), 1, Seite 4
Übergeordnetes Werk:	volume:20 ; year:2020 ; number:1 ; pages:4

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12879-020-05001-x

Katalog-ID:	DOAJ047994479

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520			\|a Abstract 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.
650		4	\|a Cutaneous, Leukocytoclastic
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author_variant	j h i jhi s j c sjc m h c mhc s y l syl y k p ykp h y k hyk j h b jhb j s l jsl
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allfields	10.1186/s12879-020-05001-x doi (DE-627)DOAJ047994479 (DE-599)DOAJ808549f5699a4359a0b5850af918e26c DE-627 ger DE-627 rakwb eng RC109-216 Jae Hyoung Im verfasserin aut A case of Henoch-Schönlein purpura associated with scrub typhus 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract 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. Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases Suk Jin Choi verfasserin aut Moon-Hyun Chung verfasserin aut Seung Yun Lee verfasserin aut Young Kyoung Park verfasserin aut Hea Yoon Kwon verfasserin aut Ji Hyeon Baek verfasserin aut Jin-Soo Lee verfasserin aut In BMC Infectious Diseases BMC, 2003 20(2020), 1, Seite 4 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:20 year:2020 number:1 pages:4 https://doi.org/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/article/808549f5699a4359a0b5850af918e26c kostenfrei http://link.springer.com/article/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 4
spelling	10.1186/s12879-020-05001-x doi (DE-627)DOAJ047994479 (DE-599)DOAJ808549f5699a4359a0b5850af918e26c DE-627 ger DE-627 rakwb eng RC109-216 Jae Hyoung Im verfasserin aut A case of Henoch-Schönlein purpura associated with scrub typhus 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract 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. Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases Suk Jin Choi verfasserin aut Moon-Hyun Chung verfasserin aut Seung Yun Lee verfasserin aut Young Kyoung Park verfasserin aut Hea Yoon Kwon verfasserin aut Ji Hyeon Baek verfasserin aut Jin-Soo Lee verfasserin aut In BMC Infectious Diseases BMC, 2003 20(2020), 1, Seite 4 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:20 year:2020 number:1 pages:4 https://doi.org/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/article/808549f5699a4359a0b5850af918e26c kostenfrei http://link.springer.com/article/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 4
allfields_unstemmed	10.1186/s12879-020-05001-x doi (DE-627)DOAJ047994479 (DE-599)DOAJ808549f5699a4359a0b5850af918e26c DE-627 ger DE-627 rakwb eng RC109-216 Jae Hyoung Im verfasserin aut A case of Henoch-Schönlein purpura associated with scrub typhus 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract 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. Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases Suk Jin Choi verfasserin aut Moon-Hyun Chung verfasserin aut Seung Yun Lee verfasserin aut Young Kyoung Park verfasserin aut Hea Yoon Kwon verfasserin aut Ji Hyeon Baek verfasserin aut Jin-Soo Lee verfasserin aut In BMC Infectious Diseases BMC, 2003 20(2020), 1, Seite 4 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:20 year:2020 number:1 pages:4 https://doi.org/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/article/808549f5699a4359a0b5850af918e26c kostenfrei http://link.springer.com/article/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 4
allfieldsGer	10.1186/s12879-020-05001-x doi (DE-627)DOAJ047994479 (DE-599)DOAJ808549f5699a4359a0b5850af918e26c DE-627 ger DE-627 rakwb eng RC109-216 Jae Hyoung Im verfasserin aut A case of Henoch-Schönlein purpura associated with scrub typhus 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract 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. Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases Suk Jin Choi verfasserin aut Moon-Hyun Chung verfasserin aut Seung Yun Lee verfasserin aut Young Kyoung Park verfasserin aut Hea Yoon Kwon verfasserin aut Ji Hyeon Baek verfasserin aut Jin-Soo Lee verfasserin aut In BMC Infectious Diseases BMC, 2003 20(2020), 1, Seite 4 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:20 year:2020 number:1 pages:4 https://doi.org/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/article/808549f5699a4359a0b5850af918e26c kostenfrei http://link.springer.com/article/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 4
allfieldsSound	10.1186/s12879-020-05001-x doi (DE-627)DOAJ047994479 (DE-599)DOAJ808549f5699a4359a0b5850af918e26c DE-627 ger DE-627 rakwb eng RC109-216 Jae Hyoung Im verfasserin aut A case of Henoch-Schönlein purpura associated with scrub typhus 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract 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. Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases Suk Jin Choi verfasserin aut Moon-Hyun Chung verfasserin aut Seung Yun Lee verfasserin aut Young Kyoung Park verfasserin aut Hea Yoon Kwon verfasserin aut Ji Hyeon Baek verfasserin aut Jin-Soo Lee verfasserin aut In BMC Infectious Diseases BMC, 2003 20(2020), 1, Seite 4 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:20 year:2020 number:1 pages:4 https://doi.org/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/article/808549f5699a4359a0b5850af918e26c kostenfrei http://link.springer.com/article/10.1186/s12879-020-05001-x kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 4
language	English
source	In BMC Infectious Diseases 20(2020), 1, Seite 4 volume:20 year:2020 number:1 pages:4
sourceStr	In BMC Infectious Diseases 20(2020), 1, Seite 4 volume:20 year:2020 number:1 pages:4
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report Infectious and parasitic diseases
isfreeaccess_bool	true
container_title	BMC Infectious Diseases
authorswithroles_txt_mv	Jae Hyoung Im @@aut@@ Suk Jin Choi @@aut@@ Moon-Hyun Chung @@aut@@ Seung Yun Lee @@aut@@ Young Kyoung Park @@aut@@ Hea Yoon Kwon @@aut@@ Ji Hyeon Baek @@aut@@ Jin-Soo Lee @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	326645381
id	DOAJ047994479
language_de	englisch
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callnumber-first	R - Medicine
author	Jae Hyoung Im
spellingShingle	Jae Hyoung Im misc RC109-216 misc Cutaneous, Leukocytoclastic misc Orientia tsutsugamushi misc Henoch-Schönlein misc Scrub typhus misc Case report misc Infectious and parasitic diseases A case of Henoch-Schönlein purpura associated with scrub typhus
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topic_title	RC109-216 A case of Henoch-Schönlein purpura associated with scrub typhus Cutaneous, Leukocytoclastic Orientia tsutsugamushi Henoch-Schönlein Scrub typhus Case report
topic	misc RC109-216 misc Cutaneous, Leukocytoclastic misc Orientia tsutsugamushi misc Henoch-Schönlein misc Scrub typhus misc Case report misc Infectious and parasitic diseases
topic_unstemmed	misc RC109-216 misc Cutaneous, Leukocytoclastic misc Orientia tsutsugamushi misc Henoch-Schönlein misc Scrub typhus misc Case report misc Infectious and parasitic diseases
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title	A case of Henoch-Schönlein purpura associated with scrub typhus
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title_full	A case of Henoch-Schönlein purpura associated with scrub typhus
author_sort	Jae Hyoung Im
journal	BMC Infectious Diseases
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author_browse	Jae Hyoung Im Suk Jin Choi Moon-Hyun Chung Seung Yun Lee Young Kyoung Park Hea Yoon Kwon Ji Hyeon Baek Jin-Soo Lee
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title_sort	case of henoch-schönlein purpura associated with scrub typhus
callnumber	RC109-216
title_auth	A case of Henoch-Schönlein purpura associated with scrub typhus
abstract	Abstract 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.
abstractGer	Abstract 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.
abstract_unstemmed	Abstract 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.
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title_short	A case of Henoch-Schönlein purpura associated with scrub typhus
url	https://doi.org/10.1186/s12879-020-05001-x https://doaj.org/article/808549f5699a4359a0b5850af918e26c http://link.springer.com/article/10.1186/s12879-020-05001-x https://doaj.org/toc/1471-2334
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score	7.4013834

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A case of Henoch-Schönlein purpura associated with scrub typhus

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