title: An Unusual Cutaneous Manifestation in a Patient with Murine Typhus.
abstract: Murine typhus is a flea-borne febrile illness caused by Rickettsia typhi. Although often accompanied by rash, an inoculation lesion has not been observed as it is with many tick- and mite-transmitted rickettsioses. We describe a patient with murine typhus and an unusual cutaneous manifestation at the site of rickettsial inoculation.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas lsblanto@utmb.edu.
authors.forename: Lucas S
authors.initials: LS
authors.lastname: Blanton
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas.
authors.forename: Alfred S
authors.initials: AS
authors.lastname: Lea
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas.
authors.forename: Brent C
authors.initials: BC
authors.lastname: Kelly
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas.
authors.forename: David H
authors.initials: DH
authors.lastname: Walker
mesh_terms: D000328:Adult; D001706:Biopsy; D006225:Hand; D006801:Humans; D008297:Male; D012867:Skin / Q000473:pathology*; D013781:Texas; D014437:Typhus, Endemic Flea-Borne / Q000175:diagnosis* / Q000473:pathology