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Case Reports
. 2012 Dec 18:2012:bcr2012007295.
doi: 10.1136/bcr-2012-007295.

Gangrene in cases of spotted fever: a report of three cases

Harshal Satish Joshi  1 , Mathew Thomas, Anup Warrier, Suresh Kumar
Affiliations
Case Reports

Gangrene in cases of spotted fever: a report of three cases

Harshal Satish Joshi et al. BMJ Case Rep. .

Abstract

Gangrene is an uncommon complication in cases of rickettsial spotted fever. We report three cases of spotted fever from south India, presumably caused by Rickettsia conorii subspecies indica. Along with gangrene, these cases had severe manifestations of sepsis and multiorgan dysfunction syndrome (MODS) like acute kidney injury, liver dysfunction, delirium and seizure. One patient died while the other two recovered well. This case series is being reported to highlight the occurrence of gangrene in spotted fever rickettsiosis and the importance of appropriate management at the earliest.

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Figures

Figure 1
Figure 1
(A) Typical rash of spotted fever (case 1). (B) Gangrene of the ear lobe (case 1). (C) Gangrene of both feet (case 1).
Figure 2
Figure 2
Gangrene of left second toe (case 2).
Figure 3
Figure 3
Gangrene of right index finger (case 3).
See this image and copyright information in PMC

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