Ng C P, Lo C B, Wong K K, Chung C H
Accident and Emergency Department, North District Hospital, 9 Po Kin Road, Sheung Shui, Hong Kong.
Hong Kong Med J. 2002 Dec;8(6):457-9.
Murine (endemic) typhus is a notifiable disease in Hong Kong, but its diagnosis can be difficult. We report a case of murine typhus in a middle-aged man who presented with persistent fever, headache, and skin rash 2 weeks after returning from a visit to China. The diagnosis of murine typhus requires a high index of suspicion for a febrile patient with a history of potential exposure to the disease vector (rat flea) in an endemic area. The importance of early recognition lies in the potential for early therapeutic intervention, leading to decreases in morbidity and duration of stay in hospital.
鼠型（地方性）斑疹伤寒在香港属于须呈报的疾病，但其诊断可能存在困难。我们报告一例鼠型斑疹伤寒病例，患者为一名中年男性，从中国旅行归来2周后出现持续发热、头痛和皮疹。对于有在流行地区接触疾病传播媒介（鼠蚤）可能性病史的发热患者，诊断鼠型斑疹伤寒需要高度怀疑。早期识别的重要性在于早期进行治疗干预的可能性，这会降低发病率和缩短住院时间。
