Article Text
Rare disease
Life-threatening ANCA-positive vasculitis associated with rickettsial infection
Summary
We present a 47-year-old Caucasian fire fighter who developed multisystem organ failure in the setting of a positive antineutrophil cytoplasmic autoantibody (myeloperoxidase) as well as confirmed Rocky Mountain spotted fever by skin biopsy PCR. This case provided a diagnostic challenge, a rare association of a Rickettsia infection and autoimmune vasculitis as well as a unique management approach.
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Footnotes
Competing interests None.
Patient consent Obtained.