Endemic typhus (murine typhus) in an 18 year old Libyan adult
Sable, P.; Maayuf, M.
Southeast Asian Journal of Tropical Medicine and Public Health 40(4): 785-788
2009
ISSN/ISBN: 0125-1562 PMID: 19842415 Document Number: 628726
We present a case of an 18 year old Libyan with a history of fever, frontal headache, bodyache, malaise, abdominal pain, nausea and vomiting, followed by macular to maculopapular rash. A diagnosis of endemic typhus (murine typhus) was made based on the typical clinical findings and epidemiological history given by the patient. Routine blood investigations were inconclusive and a chest x-ray was normal. The patient was treated by oral doxycycline. The patient responded favorably to treatment.