Murine typhus infection complicated by dengue haemorrhagic fever.
Murine typhus is endemic in many South East Asian countries but it has not been reported from the island of Borneo. Recently we attended to an English lady who contracted the disease in Brunei. Her clinical course unexpectedly turned stormy in the third week of the illness accompanied by severe thrombocytopenia. She made a complete recovery. Serological studies here and subsequently in England confirmed that she suffered from recent murine typhus infection complicated by dengue haemorrhagic fever.
Kueh
Y K
YK
Department of Medicine, National University Hospital, Singapore.
Ti
T Y
TY
Heptonstall
J
J
D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D003715:Dengue / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D014437:Typhus, Endemic Flea-Borne / Q000150:complications*
D000914:Antibodies, Viral