Epidemic typhus meningitis in the southwestern United States.
A patient residing in New Mexico had murine typhus diagnosed. A novel molecular assay was performed at the Centers for Disease Control and Prevention, and Rickettsia prowazekii, the agent of epidemic typhus, was found, rather than R. typhi. To our knowledge, this is the first reported case of epidemic typhus confirmed by means of polymerase chain reaction--based testing of cerebrospinal fluid, and it introduces a novel assay for the molecular diagnosis of both epidemic and murine typhus.
Massung
R F
RF
Centers for Disease Control and Prevention, Division of Viral and Rickettsial Diseases, Atlanta, GA, 30333 USA. rfm2@cdc.gov
Davis
L E
LE
Slater
K
K
McKechnie
D B
DB
Puerzer
M
M
D004269:DNA, Bacterial / Q000032:analysis; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012283:Rickettsia prowazekii / Q000235:genetics* / Q000302:isolation & purification; D015206:Southwestern United States / Q000453:epidemiology; D014438:Typhus, Epidemic Louse-Borne / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000453:epidemiology*
D004269:DNA, Bacterial