Murine typhus in pregnancy.

Murine typhus is widely reported in tropical and subtropical areas, especially coastal and port cities. We describe an interesting case of murine typhus in a 26-year-old woman at 26 weeks of gestation treated with ampicillin with a good response. The serology testing for murine typhus was reported after ampicillin was empirically started, and the patient's symptoms were already resolving. To the best of our knowledge, this is the first case report of murine typhus during pregnancy reported in the United States.