Flea-Borne Typhus Presenting with Acalculous Cholecystitis and Severe Anemia.


Journal

Case reports in infectious diseases
ISSN: 2090-6625
Titre abrégé: Case Rep Infect Dis
Pays: Egypt
ID NLM: 101573243

Informations de publication

Date de publication:
2023
Historique:
received: 23 08 2023
revised: 05 10 2023
accepted: 18 10 2023
medline: 13 11 2023
pubmed: 13 11 2023
entrez: 13 11 2023
Statut: epublish

Résumé

Flea-borne typhus (FBT), an uncommon illness in the United States, typically presents as a high continuous fever with commonly associated symptoms including headache, myalgias, and rashes on the trunk and extremities. Patients infected with FBT may also present with atypical symptoms. As such, the combination of its relatively low incidence in the United States coupled with its variability in associated symptoms poses a diagnostic challenge for clinicians; early empiric treatment with doxycycline is warranted prior to a definitive diagnosis to reduce the risk of damage to vital organs. Albeit uncommon, the presentation of this patient's symptoms and final diagnosis of flea-borne typhus demonstrates the importance of (1) keeping atypical infections such as FBT in the differential diagnosis and (2) beginning empiric treatment to prevent damage to vital organs if suspicion of FBT is high.

Sections du résumé

Background UNASSIGNED
Flea-borne typhus (FBT), an uncommon illness in the United States, typically presents as a high continuous fever with commonly associated symptoms including headache, myalgias, and rashes on the trunk and extremities. Patients infected with FBT may also present with atypical symptoms. As such, the combination of its relatively low incidence in the United States coupled with its variability in associated symptoms poses a diagnostic challenge for clinicians; early empiric treatment with doxycycline is warranted prior to a definitive diagnosis to reduce the risk of damage to vital organs.
Conclusion UNASSIGNED
Albeit uncommon, the presentation of this patient's symptoms and final diagnosis of flea-borne typhus demonstrates the importance of (1) keeping atypical infections such as FBT in the differential diagnosis and (2) beginning empiric treatment to prevent damage to vital organs if suspicion of FBT is high.

Identifiants

pubmed: 37954983
doi: 10.1155/2023/5510295
pmc: PMC10637845
doi:

Types de publication

Case Reports

Langues

eng

Pagination

5510295

Informations de copyright

Copyright © 2023 Ramya Varadarajan et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Ramya Varadarajan (R)

Texas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.

Ashmi P Patel (AP)

Department of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.

Keyvon Rashidi (K)

Texas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.

Albert Oh (A)

Texas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.

Rashmeen Rahman (R)

Department of Endocrinology, University of Texas Medical Branch, Galveston, TX 77555, USA.

Ryan Neal (R)

Department of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.

Classifications MeSH