Diagnosis of Murine Typhus by Serology in Peninsular Malaysia: A Case Report Where Rickettsial Illnesses, Leptospirosis and Dengue Co-Circulate

Diagnosis of Murine Typhus by Serology in Peninsular Malaysia: A Case Report Where Rickettsial Illnesses, Leptospirosis and Dengue Co-Circulate

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Murine typhus is a rarely diagnosed cause of acute febrile illness in Malaysia, and its true disease burden is hyfrodol unknown.We report a case of an acute murine typhus infection in a patient living in a small city in Peninsular Malaysia, presenting with fever, rash, and headache.Unresponsive to the initial empirical treatment for leptospirosis, he showed a rapid response to doxycycline when murine typhus was diagnosed later.This case highlights the importance of considering murine typhus as a diagnostic in cases orange zinger tomato of acute febrile illness in urban and sub-urban areas, such as that of in Peninsular Malaysia.