An Unusual Cutaneous Manifestation in a Patient with Murine Typhus

Lucas S. Blanton Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas

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Alfred S. Lea Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas

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Brent C. Kelly Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas

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David H. Walker Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; Department of Dermatology, University of Texas Medical Branch, Galveston, Texas; Department of Pathology, University of Texas Medical Branch, Galveston, Texas

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Murine typhus is a flea-borne febrile illness caused by Rickettsia typhi. Although often accompanied by rash, an inoculation lesion has not been observed as it is with many tick- and mite-transmitted rickettsioses. We describe a patient with murine typhus and an unusual cutaneous manifestation at the site of rickettsial inoculation.

Author Notes

* Address correspondence to Lucas S. Blanton, Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0435. E-mail: lsblanto@utmb.edu

Financial support: This work was supported by the Carmage and Martha Walls Distinguished University Chair in Tropical Diseases Endowment.

Authors' addresses: Lucas S. Blanton and Alfred S. Lea, Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, E-mails: lsblanto@utmb.edu and aslea@utmb.edu. Brent C. Kelly, Department of Dermatology, University of Texas Medical Branch, Galveston, TX, E-mail: bckelly@utmb.edu. David H. Walker, Department of Pathology, Galveston, TX, E-mail: dwalker@utmb.edu.

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