Flea-borne typhus (FBT), also known as murine typhus, is a zoonotic infection caused by with world-wide distribution. In the United States, the infection is uncommon but remains endemic in some areas, including Los Angeles County. It typically manifests as a benign acute febrile illness but can be complicated in a minority of cases. Associated hemophagocytic lymphohistiocytosis (HLH) has been described in a limited number of cases. Here, we present a case of a patient with FBT complicated by HLH treated empirically with doxycycline with subsequent resolution of HLH. Also included is a review of the literature of other published cases.
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http://dx.doi.org/10.1016/j.idcr.2024.e01955 | DOI Listing |
Infect Med (Beijing)
December 2024
Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA 30458, USA.
Background: This scoping review provides a baseline summary of the current records of the ticks, fleas, and mites of public health importance that are present in Bangladesh. It summarizes their geographic distributions and reports the levels of their infestation of livestock, pets, wildlife, and humans, and the clinical and epidemiological studies pertinent to these vectors and their pathogens.
Methods: Sixty-one articles were identified in a literature search, including 43 published since 2011.
J Vector Ecol
December 2024
Urban and Public Health Entomology Program, Department of Agricultural Science and Plant Protection, Mississippi State University, Mississippi State, MS 39762 U.S.A.
Murine typhus, caused by , is re-emerging in many parts of the world. The disease is also called endemic typhus to differentiate from epidemic typhus (caused by ), and sometimes also named flea-borne typhus. Occasionally, literature sources will include as a causative agent of flea-borne typhus, but illnesses caused by are actually flea-borne spotted fever.
View Article and Find Full Text PDFInfect Dis (Lond)
January 2025
Department of Paediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Murine typhus, a vector-borne illness transmitted by fleas and caused by , presents significant public health challenges globally. Despite its impact, it often remains underrecognized in health systems. This disease is characterized by non-specific symptoms such as fever, rash, and severe complications in cases involving neurological or multi-organ involvement.
View Article and Find Full Text PDFJ Neurol Sci
November 2024
Department of Hospital Medicine, El Campo Memorial Hospital, El Campo, TX, USA.
Typhus group rickettsiosis (TGR), caused by Rickettsia typhi and Rickettsia prowazekii, are globally distributed vector-borne diseases with increasing cases. Diagnosis is usually clinical, confirmed by seroconversion of IgG antibodies. Human infection occurs in diverse geographic areas with some developing CNS infection characterized by fever, headache, meningismus, and/or focal signs - usually beyond the first week of initial symptomatology.
View Article and Find Full Text PDFJ Assoc Physicians India
October 2024
Professor, Department of Microbiology, Parul Institute of Medical Sciences and Research, Parul University, Waghodia, Gujarat, India.
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