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JAAPA. 2017 May;30(5):30-32. doi: 10.1097/01.JAA.0000513349.15030.59.

An unusual case of sepsis and petechial rash.

Author information

Christina Gardner practices in the ED and VelocityCare Clinics at Carilion Clinic, is director of the Advanced ACP Fellowship in Urgent Care and Rural Health, and is an assistant professor in the PA program at Jefferson College of Health Sciences, all in Roanoke, Va. The author has disclosed no potential conflicts of interest, financial or otherwise.


This article describes a man who presented to the ED in acute distress with signs and symptoms of sepsis, pneumonia, and a new petechial rash on his chest. He was eventually diagnosed with Rocky Mountain spotted fever. Aggressive treatment of sepsis and timely administration of empiric antibiotics were lifesaving in this situation.

[Indexed for MEDLINE]

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