Manea S J, Sasaki D M, Ikeda J K, Bruno P P
Hawaii Department of Health, Communicable Disease Division, P.O. Box 3378, Honolulu, HI 96801-3378, U.S.A.
Hawaii Med J. 2001 Jan;60(1):7-11.
Five cases of murine typhus occurring on southwestern Kauai in 1998 are described, following an investigation by the Department of Health. Two cases also had concurrent leptospirosis. Recent habitat changes of peridomestic animals and their fleas may have increased the risk for developing murine typhus. Increased suspicion of typhus by island physicians and more aggressive rodent control activities are recommended.
在卫生部进行调查之后，本文描述了1998年发生在考艾岛西南部的5例鼠型斑疹伤寒病例。其中2例还同时感染了钩端螺旋体病。家鼠及其跳蚤近期的栖息地变化可能增加了感染鼠型斑疹伤寒的风险。建议岛上的医生提高对斑疹伤寒的怀疑指数，并加强灭鼠活动。
