European Journal of Biomedical and Pharmaceutical Sciences

AN INTERESTING CASE REPORT OF DYSENTERY PRESENTING WITH PALPABLE PURPURA IN AN ADULT WOMAN

*Prof. Dr. Rathnakumar Md, Prof. Dr. Periyasamy Md, Dr. Sheik Mohammed Raja Md,
Dr. Claudia Prahash A.

ABSTRACT

Dysentery in adults is commonly attributed to infectious etiologies; however, the presence of palpable purpura, arthralgia, and renal abnormalities may suggest an underlying small- vessel vasculitis. We report the case of a 35-year-old woman who presented with fever, abdominal pain, vomiting, and bloody stools accompanied by a rapidly progressive purpuric rash involving all four limbs and trunk, predominantly in lower limb and back region. Laboratory evaluation revealed neutrophilic leukocytosis, markedly elevated in ammatory markers, positive stool occult blood, mild proteinuria, and elevated D-dimer. Dermatologic examination identi ed multiple palpable purpura, vesicles, and bullae. The constellation of symptoms raised suspicion for IgA vasculitis or leukocytoclastic vasculitis (LCV) with gastrointestinal involvement. This case highlights the need for early recognition of vasculitic manifestations in adults presenting with dysentery-like symptoms.

Keywords: Dermatologic examination identi ed multiple palpable purpura, vesicles, and bullae.