The case of Rocky Mountain Spotted Fever with multiple coagulation disturbances reported in Pediatrics (36:627, 1965) was similar to a recent patient's.
This was a 2
year old girl with a 9 day history of fever and rash. She was comatose and had papular lesions, many of which were hemorrhagic, involving the whole body (including palms and soles) plus many small flat petechiae. A sibling had died 2 days before with an identical history.