This case report describes rat bite fever presenting as palpable purpura.
Rat bite fever (RBF) is a rare infectious disease with a nonspecific presentation and potentially fatal complications. We report a case of RBF presenting as palpable purpura.
Article InformationCorresponding Author: Mary Gail Mercurio, MD, Department of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, PO Box 697, Rochester, NY 14642 (MaryGail_Mercurio@urmc.rochester.edu).
Published Online: February 24, 2016. doi:10.1001/jamadermatol.2015.6034.
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information. We are also indebted to Anat Kohn, MD, and Matthew Taylor, MD, from the Department of Internal Medicine at the University of Rochester Medical Center, for their photographic contributions. They received no compensation for their contributions beyond that received in the normal course of their employment.