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Diagnosis of murine typhus by serology in Peninsular Malaysia: a case report where rickettsial illnesses, leptospirosis and dengue co-circulate

Yuhana, Yazli and Tanganuchitcharnchai, Ampai and Sujariyakul, Pimpan and Sonthayanon, Piengchan and Chotivanich, Kesinee and Paris, Daniel H. and Pukrittayakamee, Sasithon and Blacksell, Stuart D. and Hanboonkunupakarn, Borimas. (2019) Diagnosis of murine typhus by serology in Peninsular Malaysia: a case report where rickettsial illnesses, leptospirosis and dengue co-circulate. Tropical medicine and infectious disease, 4 (1). p. 23.

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Abstract

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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Medicine (MED)
UniBasel Contributors:Paris, Daniel Henry
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:Multidisciplinary Digital Publishing Institute
ISSN:2414-6366
Note:Publication type according to Uni Basel Research Database: Journal item
Language:English
Identification Number:
Last Modified:12 Mar 2019 08:13
Deposited On:12 Mar 2019 08:13

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