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© Therese Couderc, Marc Lecuit
Publication : Journal of travel medicine

Noneruptive fever revealing murine typhus in a traveler returning from Tunisia.

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in Journal of travel medicine - 01 Jan 2015

Gastellier L, Lanternier F, Renvoisé A, Rivière S, Raoult D, Lortholary O, Lecuit M,

Link to Pubmed [PMID] – 25158857

Link to DOI – 10.1111/jtm.12154

J Travel Med 2015 ; 22(1): 67-9

Rickettsia species are increasingly being recognized as a cause of infection among returning travelers. Murine typhus (MT) was mistakenly thought to have disappeared in the 1970s in Tunisia, yet recent serological data show that Rickettsia typhi, the causative agent of MT, still circulates in the Tunisian population. We report here a case of MT in a woman returning from Tunisia and hospitalized in France. Her presentation was nonspecific, with acute noneruptive fever. Diagnosis was confirmed by cross-adsorption and immunoblotting. Clinicians taking care of returning travelers with fever should be aware of MT, and know how to diagnose and treat it.