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Typhus fever

  • Typhus is defined as a group of diseases caused by bacteria that are spread to humans by fleas, lice, and chiggers.
  • Typhus fevers include scrub typhus, murine typhus, and epidemic typhus.
  • Chiggers spread scrub typhus, fleas spread murine typhus, and body lice spread epidemic typhus.
  • The most common symptoms are fever, headaches, and sometimes rash.

Pathophysiology

  • Scratching a louse-bite site allows the rickettsia-laden excrement to be inoculated into the bite wound.
  • The rickettsia travel to the bloodstream, and rickettsemia develops.
  • The major pathology is caused by a vasculitis and its complications.