(Rat flea typhus, typhoid urban Malaysia)

Murine typhus is caused by Rickettsia typhi and R. felis, which are transmitted by fleas to humans. It runs clinically similar, but weaker than the epidemic shipping fever and is accompanied by chills, headache, fever and rash associated.

Murine typhus is a rickettsial disease.

Murine typhus is caused by Rickettsia typhi and R. felis, which are transmitted by fleas to humans. It runs clinically similar, but weaker than the epidemic shipping fever and is accompanied by chills, headache, fever and rash associated. Murine typhus is a rickettsial disease. Wild rats, mice and other rodents are the animal reservoirs. The disease is transmitted by rat fleas and possibly cat fleas to humans. The disease occurs only occasionally, but most of the world, the incidence is low, except for rats populated areas. Symptoms and complaints After an incubation period of 6-18 days (average 10 days) there is a chill, which is accompanied by headache and fever. The fever lasts about 12 days; then the temperature gradually returns back to the normal range. The rash and other manifestations are similar to those at epidemic shipping fever, but are much less severe. The early rash is sparse pronounced and discreet. However, the mortality rate is low in the elderly higher. Diagnosis Clinical symptoms biopsy of skin rash with fluorescent antibody staining, Acute to recognize the pathogen and current serological tests (serological tests are not acutely sense) PCR Details diagnosis, Epidemic typhus: diagnosis. Doxycycline therapy The primary therapy is carried out with doxycycline 200 mg p.o. 1 times a day, followed by 100 mg 2 times daily until clinical improvement occurs, the patient is 48 hours afebrile and has received a therapy for at least 7 days. Means of the second choice is Chloramphenicol 500 mg p.o. or iv 4 times daily for 7 days. For details of the treatment, overview of Rickettsia infections: therapy, the incidence could be reduced by reducing the rat and rat flea population. An effective vaccine is not available.

Health Life Media Team

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