Background: Endemic typhus, caused by Rickettsia typhi, belongs to the typhus group of the rickettsioses. The disease is prevalent worldwide and is probably an underestimated cause of illness accompanied by fever in travellers, due to its frequently mild presentation and resemblance to diseases like typhoid- or dengue fever. Broad-spectrum antibiotics are not effective in the treatment of endemic typhus, but the disease is responsive to doxycycline.
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