Abstract
We treated a case of severe murine typhus in a Japanese traveler after returning from Thailand. Although the disease is typically self-limited or mild, the patient showed shock and multiple organ failure including acute respiratory distress syndrome. Then the patient fully recovered following intensive care and administration of antirickettsial medicines.
© 2012 International Society of Travel Medicine.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Cephalosporins / administration & dosage
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Ciprofloxacin / administration & dosage*
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Drug Substitution
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Humans
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Japan / epidemiology
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Male
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Middle Aged
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Multiple Organ Failure / etiology
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Respiratory Distress Syndrome / etiology
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Rickettsia typhi* / drug effects
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Rickettsia typhi* / isolation & purification
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Rickettsia typhi* / pathogenicity
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Shock / etiology
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Thailand / epidemiology
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Travel
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Treatment Outcome
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Typhus, Endemic Flea-Borne* / complications
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Typhus, Endemic Flea-Borne* / diagnosis
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Typhus, Endemic Flea-Borne* / microbiology
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Typhus, Endemic Flea-Borne* / physiopathology
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Typhus, Endemic Flea-Borne* / therapy
Substances
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Anti-Bacterial Agents
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Cephalosporins
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Ciprofloxacin
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cefcapene pivoxil hydrochloride