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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Autores principales: Spernovasilis, Nikolaos, Tsioutis, Constantinos, Zafeiri, Maria, Hamilos, Georgios, Gikas, Achilleas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394404/
https://www.ncbi.nlm.nih.gov/pubmed/28473857
http://dx.doi.org/10.1155/2017/3769074
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author Spernovasilis, Nikolaos
Tsioutis, Constantinos
Zafeiri, Maria
Hamilos, Georgios
Gikas, Achilleas
author_facet Spernovasilis, Nikolaos
Tsioutis, Constantinos
Zafeiri, Maria
Hamilos, Georgios
Gikas, Achilleas
author_sort Spernovasilis, Nikolaos
collection PubMed
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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spelling pubmed-53944042017-05-04 Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review Spernovasilis, Nikolaos Tsioutis, Constantinos Zafeiri, Maria Hamilos, Georgios Gikas, Achilleas Case Rep Med Case Report 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. Hindawi 2017 2017-04-04 /pmc/articles/PMC5394404/ /pubmed/28473857 http://dx.doi.org/10.1155/2017/3769074 Text en Copyright © 2017 Nikolaos Spernovasilis et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Spernovasilis, Nikolaos
Tsioutis, Constantinos
Zafeiri, Maria
Hamilos, Georgios
Gikas, Achilleas
Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394404/
https://www.ncbi.nlm.nih.gov/pubmed/28473857
http://dx.doi.org/10.1155/2017/3769074
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