title: Severe murine typhus with shock and acute respiratory failure in a Japanese traveler after returning from Thailand.
abstract: We treated a case of severe murine typhus in a Japanese traveler after returning from Thailand. Although the disease is typically self-limited or mild, the patient showed shock and multiple organ failure including acute respiratory distress syndrome. Then the patient fully recovered following intensive care and administration of antirickettsial medicines.
authors.affiliation: Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, Tokyo, Japan.
authors.forename: Naoya
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Fukumi
authors.initials: F
authors.lastname: Nakamura-Uchiyama
authors.forename: Ken-Ichiro
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Takasaki
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Ogasawara
authors.forename: Shuji
authors.initials: S
authors.lastname: Ando
authors.forename: Sentaro
authors.initials: S
authors.lastname: Iwabuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Ohnishi
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002511:Cephalosporins / Q000008:administration & dosage; D002939:Ciprofloxacin / Q000008:administration & dosage*; D057915:Drug Substitution; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012286:Rickettsia typhi / Q000187:drug effects / Q000302:isolation & purification / Q000472:pathogenicity; D012769:Shock / Q000209:etiology; D013785:Thailand / Q000453:epidemiology; D014195:Travel; D016896:Treatment Outcome; D014437:Typhus, Endemic Flea-Borne / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D002939:Ciprofloxacin; C425944:cefcapene pivoxil hydrochloride