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Murine typhus.

Seamus Lonergan1, Gowtham Ganesan2, Stephen J Titus2

  • 1Department of Emergency Medicine, Baylor University Medical Center, Dallas, Texas.

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|August 22, 2022
PubMed
Summary

Murine typhus, a rare rickettsial disease, can present with unusual gastrointestinal symptoms instead of the typical fever, rash, and headache. Early diagnosis is crucial, as pet owners with fleas are susceptible.

Keywords:
CardiomegalyRickettsia typhihepatosplenomegalymurine typhus

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Public Health

Background:

  • Murine typhus is caused by Rickettsia typhi, a gram-negative bacterium.
  • Classical symptoms include fever, rash, and headache.
  • It is transmitted by fleas, often associated with rodents and domestic animals.

Observation:

  • A rare case of murine typhus presented primarily with fever and gastrointestinal distress.
  • Initial imaging revealed cardiomegaly and hepatosplenomegaly.
  • The patient's presentation deviated from the classic triad of symptoms.

Findings:

  • Diagnostic workup confirmed rickettsial disease.
  • The case highlights atypical clinical manifestations of murine typhus.
  • Rickettsia typhi infection was identified as the cause.

Implications:

  • This case broadens the understanding of murine typhus presentations.
  • It emphasizes the importance of considering rickettsial diseases in patients with unexplained fever and GI symptoms.
  • Pet owners and individuals with potential flea exposure should be aware of this zoonotic risk.