Severe murine typhus with shock and acute respiratory failure in a Japanese traveler after returning from Thailand

J Travel Med. 2013 Jan-Feb;20(1):50-3. doi: 10.1111/j.1708-8305.2012.00678.x. Epub 2012 Nov 30.

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.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Cephalosporins / administration & dosage
  • Ciprofloxacin / administration & dosage*
  • Drug Substitution
  • Humans
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Multiple Organ Failure / etiology
  • Respiratory Distress Syndrome / etiology
  • Rickettsia typhi* / drug effects
  • Rickettsia typhi* / isolation & purification
  • Rickettsia typhi* / pathogenicity
  • Shock / etiology
  • Thailand / epidemiology
  • Travel
  • Treatment Outcome
  • Typhus, Endemic Flea-Borne* / complications
  • Typhus, Endemic Flea-Borne* / diagnosis
  • Typhus, Endemic Flea-Borne* / microbiology
  • Typhus, Endemic Flea-Borne* / physiopathology
  • Typhus, Endemic Flea-Borne* / therapy

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Ciprofloxacin
  • cefcapene pivoxil hydrochloride