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Typhus
Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. The diseases are caused by specific types of bacterial infection. Epidemic typhus is due to ''Rickettsia prowazekii'' spread by body lice, scrub typhus is due to ''Orientia tsutsugamushi'' spread by chiggers, and murine typhus is due to ''Rickettsia typhi'' spread by fleas. Vaccines have been developed, but none are commercially available. Prevention is achieved by reducing exposure to the organisms that spread the disease. Treatment is with the antibiotic doxycycline. Epidemic typhus generally occurs in outbreaks when poor sanitary conditions and crowding are present. While once common, it is now rare. Scrub typhus occurs in Southeast Asia, Japan, and northern Australia. Murine typhus occurs in tropical and subtropical areas of the worl ...
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Orientia Tsutsugamushi
''Orientia tsutsugamushi'' (from Japanese ''tsutsuga'' meaning "illness", and ''mushi'' meaning "insect") is a mite-borne bacterium belonging to the family Rickettsiaceae and is responsible for a disease called scrub typhus in humans. It is a natural and an obligate intracellular parasite of mites belonging to the family Trombiculidae. With a genome of only 2.0–2.7 Mb, it has the most repeated DNA sequences among bacterial genomes sequenced so far. The disease, scrub typhus, occurs when infected mite larvae accidentally bite humans. Primarily indicated by undifferentiated febrile illnesses, the infection can be complicated and often fatal. ''Orientia tsutsugamushi'' infection was first reported in Japan by Hakuju Hashimoto in 1810, and to the Western world by Theobald Adrian Palm in 1878. Naosuke Hayashi first described it in 1920, giving the name ''Theileria tsutsugamushi''. Owing to its unique properties, it was renamed ''Orientia tsutsugamushi'' in 1995. Unlike other ...
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Scrub Typhus
Scrub typhus or bush typhus is a form of typhus caused by the intracellular parasite ''Orientia tsutsugamushi'', a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in Japan.Pediatric Scrub Typhus
accessdate: 16 October 2011
Although the disease is similar in presentation to other forms of , its is no longer included in ''

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Rickettsia Typhi
''Rickettsia typhi'' is a small, aerobic, obligate intracellular, rod shaped gram negative bacterium. It belongs to the typhus group of the ''Rickettsia'' genus, along with ''R. prowazekii''. ''R. typhi'' has an uncertain history, as it may have long gone shadowed by epidemic typhus (''R. prowazekii''). This bacterium is recognized as a biocontainment level 2/3 organism. ''R. typhi'' is a flea-borne disease that is best known to be the causative agent for the disease murine typhus, which is an endemic typhus in humans that is distributed worldwide. As with all rickettsial organisms, ''R. typhi'' is a zoonotic agent that causes the disease ''murine typhus'', displaying non-specific mild symptoms of fevers, headaches, pains and rashes. There are two cycles of ''R. typhi'' transmission from animal reservoirs containing ''R. typhi'' to humans: a classic rat-flea-rat cycle that is most well studied and common, and a secondary periodomestic cycle that could involve cats, dogs, opossums, s ...
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Murine Typhus
Murine typhus, also known as endemic typhus or flea-borne typhus, is a form of typhus transmitted by fleas (''Xenopsylla cheopis''), usually on rats, in contrast to epidemic typhus which is usually transmitted by lice. Murine typhus is an under-recognized entity, as it is often confused with viral illnesses. Most people who are infected do not realize that they have been bitten by fleas. Historically the term "hunger-typhus" was used in accounts by British POWs in Germany at the end of World War I when they described conditions in Germany. Signs and symptoms Symptoms of endemic typhus include headache, fever, muscle pain, joint pain, nausea and vomiting. 40–50% of patients will develop a discrete rash six days after the onset of signs. Up to 45% will develop neurological signs such as confusion, stupor, seizures or imbalance. Symptoms may resemble those of measles, rubella, or possibly Rocky Mountain spotted fever. These symptoms are likely caused by a vasculitis caused by t ...
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Murine Typhus
Murine typhus, also known as endemic typhus or flea-borne typhus, is a form of typhus transmitted by fleas (''Xenopsylla cheopis''), usually on rats, in contrast to epidemic typhus which is usually transmitted by lice. Murine typhus is an under-recognized entity, as it is often confused with viral illnesses. Most people who are infected do not realize that they have been bitten by fleas. Historically the term "hunger-typhus" was used in accounts by British POWs in Germany at the end of World War I when they described conditions in Germany. Signs and symptoms Symptoms of endemic typhus include headache, fever, muscle pain, joint pain, nausea and vomiting. 40–50% of patients will develop a discrete rash six days after the onset of signs. Up to 45% will develop neurological signs such as confusion, stupor, seizures or imbalance. Symptoms may resemble those of measles, rubella, or possibly Rocky Mountain spotted fever. These symptoms are likely caused by a vasculitis caused by t ...
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Typhoid Fever
Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several days. This is commonly accompanied by weakness, abdominal pain, constipation, headaches, and mild vomiting. Some people develop a skin rash with rose colored spots. In severe cases, people may experience confusion. Without treatment, symptoms may last weeks or months. Diarrhea may be severe, but is uncommon. Other people may carry the bacterium without being affected, but they are still able to spread the disease. Typhoid fever is a type of enteric fever, along with paratyphoid fever. ''S. enterica'' Typhi is believed to infect and replicate only within humans. Typhoid is caused by the bacterium ''Salmonella enterica'' subsp. ''enterica'' serovar Typhi growing in the intestines, peyers patches, mesenteric lymph nodes, spleen, liver ...
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Rickettsia Prowazekii
''Rickettsia prowazekii'' is a species of gram-negative, alphaproteobacteria, obligate intracellular parasitic, aerobic bacillus bacteria that is the etiologic agent of epidemic typhus, transmitted in the feces of lice. In North America, the main reservoir for ''R. prowazekii'' is the flying squirrel. ''R. prowazekii'' is often surrounded by a protein microcapsular layer and slime layer; the natural life cycle of the bacterium generally involves a vertebrate and an invertebrate host, usually an arthropod, typically the human body louse. A form of ''R. prowazekii'' that exists in the feces of arthropods remains stably infective for months. ''R. prowazekii'' also appears to be the closest free-living relative of mitochondria, based on genome sequencing. History Discovery Henrique da Rocha Lima, a Brazilian doctor, discovered this bacterium in 1916. He named it after his colleague Stanislaus von Prowazek, who had died from typhus in 1915. Both Prowazek and Rocha Lima had b ...
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Body Louse
The body louse (''Pediculus humanus humanus'', also known as ''Pediculus humanus corporis'') is a hematophagic ectoparasite louse that infests humans. It is one of three lice which infest humans, the other two being the head louse, and the crab louse or pubic louse. Despite the name, body lice do not directly live on the host. They lay their eggs on fibres of clothing and only come into contact with the host whenever they need to feed. Since body lice cannot jump or fly, they spread by direct contact with another person or more rarely by contact with clothing or bed sheets that are infested. Body lice are disease vectors and can transmit pathogens that cause human diseases such as epidemic typhus, trench fever, and relapsing fever. In developed countries, infestations are only a problem in areas of poverty where there is poor body hygiene, crowded living conditions, and a lack of access to clean clothing. Outbreaks can also occur in situations where large groups of people a ...
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Body Lice
The body louse (''Pediculus humanus humanus'', also known as ''Pediculus humanus corporis'') is a hematophagic ectoparasite louse that infests humans. It is one of three lice which infest humans, the other two being the head louse, and the crab louse or pubic louse. Despite the name, body lice do not directly live on the host. They lay their eggs on fibres of clothing and only come into contact with the host whenever they need to feed. Since body lice cannot jump or fly, they spread by direct contact with another person or more rarely by contact with clothing or bed sheets that are infested. Body lice are disease vectors and can transmit pathogens that cause human diseases such as epidemic typhus, trench fever, and relapsing fever. In developed countries, infestations are only a problem in areas of poverty where there is poor body hygiene, crowded living conditions, and a lack of access to clean clothing. Outbreaks can also occur in situations where large groups of people ar ...
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Doxycycline
Doxycycline is a broad-spectrum tetracycline class antibiotic used in the treatment of infections caused by bacteria and certain parasites. It is used to treat bacterial pneumonia, acne, chlamydia infections, Lyme disease, cholera, typhus, and syphilis. It is also used to prevent malaria in combination with quinine. Doxycycline may be taken by mouth or by injection into a vein. Common side effects include diarrhea, nausea, vomiting, abdominal pain, and an increased risk of sunburn. Use during pregnancy is not recommended. Like other agents of the tetracycline class, it either slows or kills bacteria by inhibiting protein production. It kills malaria by targeting a plastid organelle, the apicoplast. Doxycycline was patented in 1957 and came into commercial use in 1967. It is on the World Health Organization's List of Essential Medicines. Doxycycline is available as a generic medicine. In 2020, it was the 79th most commonly prescribed medication in the United States, with m ...
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Doxycycline
Doxycycline is a broad-spectrum tetracycline class antibiotic used in the treatment of infections caused by bacteria and certain parasites. It is used to treat bacterial pneumonia, acne, chlamydia infections, Lyme disease, cholera, typhus, and syphilis. It is also used to prevent malaria in combination with quinine. Doxycycline may be taken by mouth or by injection into a vein. Common side effects include diarrhea, nausea, vomiting, abdominal pain, and an increased risk of sunburn. Use during pregnancy is not recommended. Like other agents of the tetracycline class, it either slows or kills bacteria by inhibiting protein production. It kills malaria by targeting a plastid organelle, the apicoplast. Doxycycline was patented in 1957 and came into commercial use in 1967. It is on the World Health Organization's List of Essential Medicines. Doxycycline is available as a generic medicine. In 2020, it was the 79th most commonly prescribed medication in the United States, with m ...
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Fleas
Flea, the common name for the order Siphonaptera, includes 2,500 species of small flightless insects that live as external parasites of mammals and birds. Fleas live by ingesting the blood of their hosts. Adult fleas grow to about long, are usually brown, and have bodies that are "flattened" sideways or narrow, enabling them to move through their hosts' fur or feathers. They lack wings; their hind legs are extremely well adapted for jumping. Their claws keep them from being dislodged, and their mouthparts are adapted for piercing skin and sucking blood. They can leap 50 times their body length, a feat second only to jumps made by another group of insects, the superfamily of froghoppers. Flea larvae are worm-like, with no limbs; they have chewing mouthparts and feed on organic debris left on their hosts' skin. Genetic evidence indicates that fleas are a specialised lineage of parasitic scorpionflies (Mecoptera) ''sensu lato'', most closely related to the family Nannochorist ...
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