Diagnosis of murine typhus by serology in peninsular Malaysia: A case report where rickettsial illnesses, leptospirosis and dengue co-circulate
Murine typhus is a rarely diagnosed cause of acute febrile illness in Malaysia, and its true disease burden is unknown. We report a case of an acute murine typhus infection in a patient living in a small city in Peninsular Malaysia, presenting with fever, rash, and headache. Unresponsive to the init...
| Published in: | Tropical Medicine and Infectious Disease |
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| Main Author: | |
| Format: | Article |
| Language: | English |
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MDPI AG
2019
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| Online Access: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075800736&doi=10.3390%2ftropicalmed4010023&partnerID=40&md5=6b7595b2c8956b81b1e74a7a95961881 |
| Summary: | Murine typhus is a rarely diagnosed cause of acute febrile illness in Malaysia, and its true disease burden is unknown. We report a case of an acute murine typhus infection in a patient living in a small city in Peninsular Malaysia, presenting with fever, rash, and headache. Unresponsive to the initial empirical treatment for leptospirosis, he showed a rapid response to doxycycline when murine typhus was diagnosed later. This case highlights the importance of considering murine typhus as a diagnostic in cases of acute febrile illness in urban and sub-urban areas, such as that of in Peninsular Malaysia. © 2019 by the authors. |
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| ISSN: | 24146366 |
| DOI: | 10.3390/tropicalmed4010023 |