@article{Vasireddy_Pai_Shetty_Acharya_Kusugodlu_Doddamani_Madhyastha_2023, title={Leukocytoclastic Vasculitis: A peculiar presentation of scrub typhus}, volume={23}, url={https://journals.squ.edu.om/index.php/squmj/article/view/4838}, DOI={10.18295/squmj.1.2022.011}, abstractNote={<p>Scrub typhus is a disease endemic to the Indian subcontinent caused by the obligate intracellular pleomorphic organism, <em>Orientia tsutsugamushi</em>. Scrub typhus, among other acute febrile illnesses, manifests as prodromal symptoms of fever, malaise, myalgia and anorexia followed by a distinct maculopapular rash, hepatosplenomegaly and lymphadenopathy. We report the case of a patient presenting to tertiary care hospital in southern India in 2021 who developed a rare cutaneous vasculitis secondary to infection with <em>Orientia tsutsugamushi</em>. After performing the Weil-Felix test, a diagnostic titre of >1:640 against OXK was obtained. Furthermore, a skin biopsy was carried out which confirmed the diagnosis of leukocytoclastic vasculitis. The patient was treated with doxycycline and showed drastic improvement in his symptoms.</p> <p><strong><em>Keywords: </em></strong>Scrub Typhus, Rickettsia; Vasculitis; Doxycycline; India.</p>}, number={1}, journal={Sultan Qaboos University Medical Journal}, author={Vasireddy, Anila and Pai, Kanthilatha and Shetty, Varsha M and Acharya, Raviraja V and Kusugodlu, Ramamoorthi and Doddamani, Akhila and Madhyastha, Sharath P}, year={2023}, month={Feb.}, pages={109–112} }