Volume 99, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Murine typhus (MT) is an important cause of febrile illness in endemic areas, and there is an epidemiologic resurgence of this infection currently transpiring in Texas and California. Fatal cases and severe neurological complications are rare. A fatal case of MT in a middle-aged man is reported with a course culminating in multi-organ failure and refractory status epilepticus. An autopsy revealed hemorrhagic pneumonia, acute tubular necrosis, and ischemic necrosis in the liver, adrenals, and brain. We have also reviewed the neurologic complications of MT.


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  • Received : 30 Jan 2018
  • Accepted : 09 May 2018
  • Published online : 25 Jun 2018

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