Murine Typhus: An Unrecognized Suburban Vectorborne Disease
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.
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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].”
From Fleas infesting pets in the era of emerging extra-intestinal nematodes (2013) · cites this paper as [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
- Publisher
- Oxford University Press (OUP)
- 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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