Patel Hemesh Mahesh
Virtual Medical Center and Department of Family Medicine, Kaiser Permanente Southern California, Huntington Beach, California, USA
BMJ Case Rep. 2020 Nov 3;13(11):e239471. doi: 10.1136/bcr-2020-239471.
Fever is a widely recognised presenting symptom of COVID-19. Consequently, other febrile illnesses may be difficult to distinguish from COVID-19-leading to delays in diagnosis and treatment. One such illness is murine typhus, a fleaborne illness with worldwide distribution caused by It often presents with fever, headache and myalgia, all of which have been commonly reported with COVID-19. Although the disease is usually mild with a good prognosis, there have been reports of severe illness and death. I present a case of murine typhus in a young male who had 2 weeks of headaches and daily fevers during the COVID-19 pandemic. He was ultimately tested for murine typhus when his occupation as a dog trainer was queried, and he experienced resolution of symptoms after treatment with doxycycline. During this pandemic, clinicians must be vigilant of other febrile illnesses whose symptoms overlap with COVID-19.
发热是新冠病毒病（COVID-19）一种广为人知的症状表现。因此，其他发热性疾病可能难以与COVID-19区分开来，从而导致诊断和治疗延误。鼠型斑疹伤寒就是这样一种疾病，它是一种由 引起的、通过跳蚤传播且在全球范围内分布的疾病。它通常表现为发热、头痛和肌痛，这些症状在COVID-19中也很常见。尽管该疾病通常症状较轻、预后良好，但也有严重病例和死亡的报告。我报告一例年轻男性鼠型斑疹伤寒病例，该患者在COVID-19大流行期间持续两周出现头痛和每日发热症状。当因其驯犬师职业而对其进行询问时，最终对他进行了鼠型斑疹伤寒检测，他在接受强力霉素治疗后症状得到缓解。在此次大流行期间，临床医生必须警惕那些症状与COVID-19重叠的其他发热性疾病。 （原文中“caused by”后缺少具体内容）
