Severe interstitial pneumonia due to murine typhus in a patient returning from Bali
Luís Malheiro,
Filipa Ceia,
João Alves,
Ana Cláudia Carvalho,
Joana Sobrinho-Simões,
Rita Sousa,
António Sarmento,
Lurdes Santos
Affiliations
Luís Malheiro
Serviço de Doenças Infecciosas (Infectious Diseases Department), Centro Hospitalar de S. João, Porto, Portugal
Filipa Ceia
Serviço de Doenças Infecciosas (Infectious Diseases Department), Centro Hospitalar de S. João, Porto, Portugal
João Alves
Serviço de Doenças Infecciosas e Medicina Tropical, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, E.P.E., Lisboa, Portugal
Ana Cláudia Carvalho
Serviço de Doenças Infecciosas (Infectious Diseases Department), Centro Hospitalar de S. João, Porto, Portugal
Joana Sobrinho-Simões
Clinical Microbiology Department, Centro Hospitalar de S. João, Porto, Portugal
Rita Sousa
Instituto Nacional de Saúde Doutor Ricardo Jorge (National Institute of Health Doutor Ricardo Jorge), Centro de Estudos de Vectores e Doenças Infecciosas Dr. Francisco Cambournac (CEVDI) (Center for Vectors and Infectious Disease Research (CEVDI) and Gastrointestinal Infections Laboratory), Aguas de Moura, Portugal
António Sarmento
Serviço de Doenças Infecciosas (Infectious Diseases Department), Centro Hospitalar de S. João, Porto, Portugal
Lurdes Santos
Serviço de Doenças Infecciosas (Infectious Diseases Department), Centro Hospitalar de S. João, Porto, Portugal
Murine typhus has been increasingly reported as a cause of fever in returning travelers from Southeast Asia. We report a case of a previously healthy traveler returning from Bali with an non-specific febrile illness which quickly progressed to a severe form of interstitial pneumonia. After a careful epidemiological evaluation and laboratory analysis, murine typhus was diagnosed.
