Endemic typhus (murine typhus) in an 18 year old Libyan adult.
We present a case of an 18 year old Libyan with a history of fever, frontal headache, bodyache, malaise, abdominal pain, nausea and vomiting, followed by macular to maculopapular rash. A diagnosis of endemic typhus (murine typhus) was made based on the typical clinical findings and epidemiological history given by the patient. Routine blood investigations were inconclusive and a chest x-ray was normal. The patient was treated by oral doxycycline. The patient responded favorably to treatment.
Sable
Pavan
P
Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, United Kingdom. pavhappy@yahoo.com
Maayuf
Mohammed
M
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D005076:Exanthema / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008002:Libya; D014437:Typhus, Endemic Flea-Borne / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
D000900:Anti-Bacterial Agents; D004318:Doxycycline