Noneruptive Fever Revealing Murine Typhus in a Traveler Returning From Tunisia
Author(s) -
Laura Gastellier,
Fanny Lanternier,
Aurélie Renvoisé,
Sébastien Rivière,
Didier Raoult,
Olivier Lortholary,
Marc Lecuit
Publication year - 2014
Publication title -
journal of travel medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.985
H-Index - 59
eISSN - 1708-8305
pISSN - 1195-1982
DOI - 10.1111/jtm.12154
Subject(s) - rickettsia typhi , murine typhus , medicine , typhus , serology , scrub typhus , spotted fever , rickettsiosis , rickettsia , population , travel medicine , fever of unknown origin , presentation (obstetrics) , virology , immunology , pathology , environmental health , surgery , antibody , virus
Rickettsia species are increasingly being recognized as a cause of infection among returning travelers. Murine typhus (MT) was mistakenly thought to have disappeared in the 1970s in Tunisia, yet recent serological data show that Rickettsia typhi, the causative agent of MT, still circulates in the Tunisian population. We report here a case of MT in a woman returning from Tunisia and hospitalized in France. Her presentation was nonspecific, with acute noneruptive fever. Diagnosis was confirmed by cross-adsorption and immunoblotting. Clinicians taking care of returning travelers with fever should be aware of MT, and know how to diagnose and treat it.
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