Jensenius M, Maeland A, Vene S
Medisinsk avdeling, Lovisenberg Diakonale Sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Jun 30;117(17):2447-9.
Murine typhus, caused by Rickettsia typhi, is an important zoonosis in all parts of the world. The disease is transmitted from rodents to humans by fleas. In this article we describe the first three cases of serologically proven murine typhus imported into Norway during the 1990s. The patients were Norwegian tourists who had visited respectively Guinea-Bissau, Crete and Thailand. They all became acutely ill with fever, chills and severe headache 1-10 days after return to Norway. None of them had a rash. Two patients were admitted to hospital, and one was treated with ciprofloxacin for suspected typhoid fever. All the patients recovered without sequelae. The diagnosis of murine typhus was based on detection of IgM-anti-bodies against R typhi in serum samples during reconvalescence.
由斑疹伤寒立克次体引起的鼠型斑疹伤寒是世界各地一种重要的人畜共患病。该病通过跳蚤从啮齿动物传播给人类。在本文中，我们描述了20世纪90年代输入挪威的前三例血清学确诊的鼠型斑疹伤寒病例。患者均为挪威游客，分别去过几内亚比绍、克里特岛和泰国。他们在返回挪威后1至10天均突发高热、寒战和严重头痛。他们均无皮疹。两名患者住院治疗，一名患者因疑似伤寒接受环丙沙星治疗。所有患者均康复且无后遗症。鼠型斑疹伤寒的诊断基于恢复期血清样本中检测到抗斑疹伤寒立克次体的IgM抗体。
