A 46-year-old man with a history of alcohol abuse came to the emergency department with fever and a purpuric rash. He had been bitten by a dog on the left hand 3 days earlier. Minimal bleeding occurred, and with the help of the dog's owner the wound was cleansed. The dog had up-to-date immunisations and the bite occurred after the patient provoked the attack. The next day he started having fever, rigors, myalgia, and purple spots on the extremities.
