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Section 2
Section 3
Section 4
Section 5
Appendices

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Section 3. Summaries of Infectious Diseases

Endemic Typhus

(Fleaborne Typhus or Murine Typhus)

Clinical Manifestations
Etiology
Epidemiology
Diagnostic Tests
Treatment
Isolation of the Hospitalized Patient
Control Measures

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CLINICAL MANIFESTATIONS: Fleaborne typhus resembles epidemic (louseborne) typhus but usually has a less abrupt onset with less severe systemic symptoms. In young children, the disease can be mild. Fever can be accompanied by persistent headache and myalgias. A rash typically appears on day 4 to 7 of illness, is macular or maculopapular, lasts 4 to 8 days, and tends to remain discrete, with sparse lesions and no hemorrhage. Illness seldom lasts longer than 2 weeks; visceral involvement is uncommon, but untreated severe disease can be fatal.


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ETIOLOGY: Fleaborne typhus is caused by Rickettsia typhi.


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EPIDEMIOLOGY: Rats, in which infection is inapparent, are . . . [Go to Full Text]


Related text in Red Book:

Introduction

Red Book 2006: 735. [Extract] [Full Version]