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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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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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. |
format | Article |
id | doaj-art-59fc94baf7df48e6b13c41bab73a617c |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
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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