Search

A 24-year-old man presented to a university health center in January with a persistent headache that began abruptly 6 days earlier. He noted nonpulsating discomfort in the right retro-orbital area that was not relieved by ibuprofen (400 mg four times daily). He reported no prodromal symptoms, sensitivity to light or sound, neurologic symptoms, nausea, or vomiting and had no history of headaches. A day before presentation, he noted subjective fevers. The patient was evaluated, and amoxicillin was prescribed for presumed acute rhinosinusitis. [ABSTRACT FROM AUTHOR]

We report an unusual case of myopericarditis caused by Rickettsia sibirica mongolitimonae. Because of increasing reports of Rickettsia spp. as etiologic agents of acute myopericarditis and the ease and success with which it was treated in the patient reported here, rickettsial infection should be included in the differential diagnosis for myopericarditis. [ABSTRACT FROM AUTHOR]

Rickettsia species are increasingly being recognized as a cause of infection among returning travelers. Murine typhus (MT) was mistakenly thought to have disappeared in the 1970s in Tunisia, yet recent serological data show that Rickettsia typhi, the causative agent of MT, still circulates in the Tunisian population. We report here a case of MT in a woman returning from Tunisia and hospitalized in France. Her presentation was nonspecific, with acute noneruptive fever. Diagnosis was confirmed by cross-adsorption and immunoblotting. Clinicians taking care of returning travelers with fever should be aware of MT, and know how to diagnose and treat it. [ABSTRACT FROM AUTHOR]