The diagnosis can be based on culture, PCR, serologic studies of acute- and convalescent-phase sera, or immunohistology, but most pts are treated empirically.
Treatment: Endemic Murine Typhus (Flea-Borne) Doxycycline (100 mg PO bid for 7-15 days) is effective. Ciprofloxacin provides an alternative if doxycycline is contraindicated. |
Section 7. Infectious Diseases