Publication: Diagnosis of murine typhus by serology in peninsular Malaysia: A case report where rickettsial illnesses, leptospirosis and dengue co-circulate
Issued Date
2019-01-01
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ISSN
24146366
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2-s2.0-85075800736
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Mahidol University
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SCOPUS
Bibliographic Citation
Tropical Medicine and Infectious Disease. Vol.4, No.1 (2019)
Suggested Citation
Yazli Yuhana, Ampai Tanganuchitcharnchai, Pimpan Sujariyakul, Piengchan Sonthayanon, Kesinee Chotivanich, Daniel H. Paris, Sasithon Pukrittayakamee, Stuart D. Blacksell, Borimas Hanboonkunupakarn Diagnosis of murine typhus by serology in peninsular Malaysia: A case report where rickettsial illnesses, leptospirosis and dengue co-circulate. Tropical Medicine and Infectious Disease. Vol.4, No.1 (2019). doi:10.3390/tropicalmed4010023 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/51149
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Title
Diagnosis of murine typhus by serology in peninsular Malaysia: A case report where rickettsial illnesses, leptospirosis and dengue co-circulate
Abstract
© 2019 by the authors. 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.