Autochthonous epidemic typhus associated with Bartonella quintana bacteremia in a homeless person.
Trench fever, a louse-borne disease caused by Bartonella quintana, is reemerging in homeless persons. Epidemic typhus is another life-threatening louse-borne disease caused by Rickettsia prowazekii and known to occur in conditions of war, famine, refugee camps, cold weather, poverty, or lapses in public health. We report the first case of seroconversion to R. prowazekii in a homeless person of Marseilles, France. This was associated with B. quintana bacteremia. Although no outbreaks of typhus have been notified yet in the homeless population, this disease is likely to reemerge in such situation.
Badiaga
Sékéné
S
Service d'Accueil des Urgences, Hôpital Nord, Chemin des Bourrelly, Marseille, France.
Brouqui
Philippe
P
Raoult
Didier
D
D016470:Bacteremia / Q000382:microbiology*; D005602:France / Q000453:epidemiology; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D008875:Middle Aged; D014205:Trench Fever / Q000150:complications*; D014438:Typhus, Epidemic Louse-Borne / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology