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A CLUSTER OF PEDIATRIC ENDEMIC TYPHUS CASES IN ORANGE COUNTY, CALIFORNIA

Green, Jennifer S. MD*; Singh, Jasjit MD†; Cheung, Michele MD‡ ; Adler-Shohet, Felice C. MD†; Ashouri, Negar MD†

Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e3181f4cc25
Brief Reports
Abstract

Murine typhus is typically a mild febrile illness caused by Rickettsia typhi, generally confined to Texas and Southern California. Clinicians should consider early treatment with doxycycline when presented with a child having protracted fever, rash, and headache. We present 5 pediatric cases and a literature review highlighting the changing epidemiology and diagnostic difficulty of typhus.

Author Information

From the Divisions of *Academic Affairs and †Infectious Disease, Children's Hospital of Orange County, Orange, CA; ‡Department of Public Health, County of Orange Health Care Agency, Orange, CA.

Accepted for publication July 27, 2010.

Address for correspondence: Jennifer Green, MD, Children's Hospital of Orange County, 455 S. Main St., Orange, CA 92686. E-mail: jgreen@choc.org.

© 2011 Lippincott Williams & Wilkins, Inc.