Cited by 310Vector-borne infectious diseasesBartonella species infections researchZoonotic diseases and public health

Murine Typhus: An Unrecognized Suburban Vectorborne Disease

Civen, R., Ngo, V.·2008·Clinical Infectious Diseases

Abstract

Murine typhus, an acute febrile illness caused by Rickettsia typhi, is distributed worldwide. Mainly transmitted by the fleas of rodents, it is associated with cities and ports where urban rats (Rattus rattus and Rattus norvegicus) are abundant. In the United States, cases are concentrated in suburban areas of Texas and California. Contrary to the classic rat-flea-rat cycle, the most important reservoirs of infection in these areas are opossums and cats. The cat flea, Ctenocephalides felis, has been identified as the principal vector. In Texas, murine typhus cases occur in spring and summer, whereas, in California, cases have been documented in summer and fall. Most patients present with fever, and many have rash and headache. Serologic testing with the indirect immunofluorescence assay is the preferred diagnostic method. Doxycycline is the antibiotic of choice and has been shown to shorten the course of illness.

Integrity signals

Registry

Crossref · 10.1086/527443

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49 of 49 references verified0 citation errors · 0 not checkable

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  • Cats and dogs have been found seropositive for Rickettsia typhi in Europe and the USA, so they might have a certain epidemiological role in the dispersion of this zoonosis.

    “Cats and dogs have been found seropositive for R. typhi in both Europe and USA [31,32], thus they might have a certain epidemiological role in the dispersion of this zoonosis [33].”

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Authors
Civen, R., & Ngo, V.
Affiliations
Los Angeles County Department of Public Health (US)
Corresponding author
Civen, R.
ORCID
Ngo, V.
Venue
Clinical Infectious Diseases
Published
2008-03-15
Volume
46
Issue
6
Pages
913-918
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2163255895
Cited by
310
References
49
Citations by year
2026: 12 · 2025: 15 · 2024: 10 · 2023: 14 · 2022: 18 · 2021: 14 · 2020: 31 · 2019: 15 · 2018: 23 · 2017: 14 · 2016: 19 · 2015: 17 · 2014: 23 · 2013: 18 · 2012: 18
FWCI
1.77
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Parasitology › Vector-borne infectious diseases
  • Life Sciences › Immunology and Microbiology › Parasitology › Bartonella species infections research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Zoonotic diseases and public health
Keywords
murine typhus, Rickettsia typhi, Ctenocephalides felis, cats as reservoir, urban rats, seasonal distribution, serological diagnosis, doxycycline treatment, Texas, California
MeSH terms
Animals, Animals, Domestic, California, Cat Diseases, Cats, Disease Reservoirs, Ectoparasitic Infestations, Siphonaptera, Humans, Insect Vectors, Opossums, Rickettsia typhi, Seasons, Suburban Population, Texas, Typhus, Endemic Flea-Borne

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