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Induction of Maternal Immune Activation in Mice at Mid-gestation Stage with Viral Mimic Poly(I:C)
Published on: March 25, 2016
Murine typhus in pregnancy
Louis Gutierrez1, Salim Surani, Darrick Nelson
1Corpus Christi Family Practice Residency, Texas A&M University, Corpus Christi, Texas 78405, USA. gutierrezl3@hotmail.com
The American Journal of the Medical Sciences
|February 27, 2010
Summary
This case report details a pregnant woman with murine typhus successfully treated with ampicillin. It highlights the first U.S. case of pregnancy-associated murine typhus, emphasizing timely diagnosis and treatment.
Area of Science:
- Infectious Diseases
- Obstetrics and Gynecology
- Rickettsial Infections
Background:
- Murine typhus, caused by *Rickettsia typhi*, is endemic in tropical and subtropical regions.
- Pregnancy can alter the immune response and disease presentation, posing unique challenges for diagnosis and management.
- Early recognition and appropriate antibiotic therapy are crucial for favorable outcomes in rickettsial infections.
Observation:
- A 26-year-old pregnant woman at 26 weeks gestation presented with symptoms consistent with murine typhus.
- Ampicillin was initiated empirically for suspected infection.
- The patient demonstrated a significant clinical improvement following ampicillin treatment.
Findings:
- Serological confirmation of murine typhus was obtained after the initiation of antibiotic therapy.
- The patient's symptoms resolved with ampicillin, indicating effective treatment.
- This represents the first reported case of murine typhus in a pregnant individual in the United States.
Implications:
- Ampicillin appears to be a safe and effective treatment option for murine typhus during pregnancy.
- This case underscores the importance of considering murine typhus in pregnant women presenting with febrile illness in endemic areas.
- Further research may be warranted to establish definitive treatment guidelines for murine typhus in pregnancy.
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