Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review

A 54-year-old otherwise healthy male, who was being evaluated for prolonged fever, developed clinical and ultrasonographic signs compatible with acute acalculous cholecystitis. Diagnosis of murine typhus was confirmed by serology and the patient was treated with doxycycline. He improved rapidly and...

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Main Authors: Nikolaos Spernovasilis, Constantinos Tsioutis, Maria Zafeiri, Georgios Hamilos, Achilleas Gikas
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/3769074
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author Nikolaos Spernovasilis
Constantinos Tsioutis
Maria Zafeiri
Georgios Hamilos
Achilleas Gikas
author_facet Nikolaos Spernovasilis
Constantinos Tsioutis
Maria Zafeiri
Georgios Hamilos
Achilleas Gikas
author_sort Nikolaos Spernovasilis
collection DOAJ
description A 54-year-old otherwise healthy male, who was being evaluated for prolonged fever, developed clinical and ultrasonographic signs compatible with acute acalculous cholecystitis. Diagnosis of murine typhus was confirmed by serology and the patient was treated with doxycycline. He improved rapidly and all clinical and laboratory abnormalities returned to normal. The present case dictates that knowledge of the local epidemiology and keeping a high index of clinical suspicion can help recognize uncommon manifestations of murine typhus, in order to treat appropriately and avoid unnecessary investigations and interventions.
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institution Kabale University
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-59fc94baf7df48e6b13c41bab73a617c2025-02-03T05:50:42ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/37690743769074Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature ReviewNikolaos Spernovasilis0Constantinos Tsioutis1Maria Zafeiri2Georgios Hamilos3Achilleas Gikas4Internal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, GreeceInternal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, GreeceInternal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, GreeceInternal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, GreeceInternal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, GreeceA 54-year-old otherwise healthy male, who was being evaluated for prolonged fever, developed clinical and ultrasonographic signs compatible with acute acalculous cholecystitis. Diagnosis of murine typhus was confirmed by serology and the patient was treated with doxycycline. He improved rapidly and all clinical and laboratory abnormalities returned to normal. The present case dictates that knowledge of the local epidemiology and keeping a high index of clinical suspicion can help recognize uncommon manifestations of murine typhus, in order to treat appropriately and avoid unnecessary investigations and interventions.http://dx.doi.org/10.1155/2017/3769074
spellingShingle Nikolaos Spernovasilis
Constantinos Tsioutis
Maria Zafeiri
Georgios Hamilos
Achilleas Gikas
Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
Case Reports in Medicine
title Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
title_full Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
title_fullStr Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
title_full_unstemmed Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
title_short Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
title_sort severe murine typhus presenting with acalculous cholecystitis a case report and literature review
url http://dx.doi.org/10.1155/2017/3769074
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