title: Brill-Zinsser disease in a patient following infection with sylvatic epidemic typhus associated with flying squirrels.
abstract: Recrudescent Rickettsia prowazekii infection, also known as Brill-Zinsser disease, can manifest decades after untreated primary infection but is rare in contemporary settings. We report the first known case of Brill-Zinsser disease in a patient originally infected with a zoonotic strain of R. prowazekii acquired from flying squirrels.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. fzh7@cdc.gov
authors.forename: Jennifer H
authors.initials: JH
authors.lastname: McQuiston
authors.forename: Edwin B
authors.initials: EB
authors.lastname: Knights
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Demartino
authors.forename: Scott F
authors.initials: SF
authors.lastname: Paparello
authors.forename: William L
authors.initials: WL
authors.lastname: Nicholson
authors.forename: Joseph
authors.initials: J
authors.lastname: Singleton
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Brown
authors.forename: Robert F
authors.initials: RF
authors.lastname: Massung
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Urbanowski
mesh_terms: D000368:Aged; D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D012283:Rickettsia prowazekii / Q000302:isolation & purification*; D012589:Sciuridae / Q000382:microbiology*; D014438:Typhus, Epidemic Louse-Borne / Q000175:diagnosis* / Q000473:pathology; D014481:United States; D015047:Zoonoses / Q000635:transmission
chemical_list: D000907:Antibodies, Bacterial; D007074:Immunoglobulin G