title: Murine typhus: forgotten but not gone.
abstract: An occasional patient presents the classical symptoms of a disease that has become uncommon. Typhus is an example of such a disease, since it is now well contained through control of its rodent reservoir. It is readily treated with tetracycline or one of its long-acting analogues, doxycycline or minocycline. Because typhus is infrequently encountered, the physician may not initially include it in his differential diagnosis. Our case serves as a remainder that with the increasingly frequent movement of persons from one geographic area to another, the uncommon rickettsial infection, murine typhus, should continue to be in the differential of a febrile patient. Furthermore, our case underscores the importance of including typhus in the differential of typhoid fever.
authors.affiliation: Department of Internal Medicine, University of South Florida College of Medicine, Tampa.
authors.forename: L
authors.initials: L
authors.lastname: Esperanza
authors.forename: D A
authors.initials: DA
authors.lastname: Holt
authors.forename: J T
authors.initials: JT
authors.lastname: Sinnott
authors.forename: M R
authors.initials: MR
authors.lastname: Cancio
authors.forename: E A
authors.initials: EA
authors.lastname: Bradley
authors.forename: M
authors.initials: M
authors.lastname: Deutsch
mesh_terms: D000208:Acute Disease; D000328:Adult; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D013752:Tetracycline / Q000627:therapeutic use; D014437:Typhus, Endemic Flea-Borne / Q000188:drug therapy
chemical_list: D013752:Tetracycline; D004318:Doxycycline