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

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 init...

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Main Authors: Blacksell, S.D (Author), Chotivanich, K. (Author), Hanboonkunupakarn, B. (Author), Paris, D.H (Author), Pukrittayakamee, S. (Author), Sonthayanon, P. (Author), Sujariyakul, P. (Author), Tanganuchitcharnchai, A. (Author), Yuhana, Y. (Author)
Format: Article
Language:English
Published: MDPI AG 2019
Subjects:
Online Access:View Fulltext in Publisher
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LEADER 02381nam a2200541Ia 4500
001 10.3390-tropicalmed4010023
008 220121s2019 CNT 000 0 und d
020 |a 24146366 (ISSN) 
245 1 0 |a Diagnosis of murine typhus by serology in peninsular Malaysia: A case report where rickettsial illnesses, leptospirosis and dengue co-circulate 
260 0 |b MDPI AG  |c 2019 
650 0 4 |a adult 
650 0 4 |a Article 
650 0 4 |a case report 
650 0 4 |a clinical article 
650 0 4 |a dengue 
650 0 4 |a Diagnosis 
650 0 4 |a doxycycline 
650 0 4 |a fever 
650 0 4 |a headache 
650 0 4 |a human 
650 0 4 |a leptospirosis 
650 0 4 |a Malaysia 
650 0 4 |a male 
650 0 4 |a murine typhus 
650 0 4 |a Murine typhus 
650 0 4 |a nonhuman 
650 0 4 |a nucleic acid analysis 
650 0 4 |a rash 
650 0 4 |a rickettsiosis 
650 0 4 |a RNA 16S 
650 0 4 |a serology 
650 0 4 |a Serology 
650 0 4 |a suburban area 
650 0 4 |a thrombocytopenia 
650 0 4 |a urban area 
856 |z View Fulltext in Publisher  |u https://doi.org/10.3390/tropicalmed4010023 
856 |z View in Scopus  |u https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075800736&doi=10.3390%2ftropicalmed4010023&partnerID=40&md5=6b7595b2c8956b81b1e74a7a95961881 
520 3 |a 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. © 2019 by the authors. 
700 1 0 |a Blacksell, S.D.  |e author  
700 1 0 |a Chotivanich, K.  |e author  
700 1 0 |a Hanboonkunupakarn, B.  |e author  
700 1 0 |a Paris, D.H.  |e author  
700 1 0 |a Pukrittayakamee, S.  |e author  
700 1 0 |a Sonthayanon, P.  |e author  
700 1 0 |a Sujariyakul, P.  |e author  
700 1 0 |a Tanganuchitcharnchai, A.  |e author  
700 1 0 |a Yuhana, Y.  |e author  
773 |t Tropical Medicine and Infectious Disease  |x 24146366 (ISSN)  |g 4 1