Abstract | BACKGROUND: CASE DESCRIPTION: A 57-year-old man and a 36-year-old woman, who had returned from Indonesia and Nepal and Tibet, respectively, both presented with fever, malaise, headache and arthromyalgia, and both developed a skin rash. A diagnosis of typhoid- or dengue-fever was suspected at first. The first patient improved after empirical treatment with doxycycline, the second recovered following treatment with azithromycin. Blood cultures and viral serology remained negative. Additional serology showed evidence of infection with R. typhi. Both patients made a complete recovery. CONCLUSION:
Endemic typhus should be included in the differential diagnosis of illness accompanied by fever in travellers, especially if blood cultures remain negative and no improvement is seen with broad-spectrum antibiotics.
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Authors | Loek Tan, Thijs M Beersma, Yvonne van Beek, Perry J J van Genderen |
Journal | Nederlands tijdschrift voor geneeskunde
(Ned Tijdschr Geneeskd)
Vol. 155
Issue 52
Pg. A3845
( 2011)
ISSN: 1876-8784 [Electronic] Netherlands |
Vernacular Title | Twee reizigers met vlektyfus. |
PMID | 22217240
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adult
- Dengue
(diagnosis)
- Diagnosis, Differential
- Female
- Humans
- Indonesia
- Male
- Middle Aged
- Nepal
- Netherlands
- Rickettsia typhi
- Tibet
- Travel
- Typhoid Fever
(diagnosis)
- Typhus, Endemic Flea-Borne
(diagnosis)
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