Brill-Zinsser disease in a patient following infection with sylvatic epidemic typhus associated with flying squirrels.

McQuiston, Jennifer H; Knights, Edwin B; Demartino, Peter J; Paparello, Scott F; Nicholson, William L; Singleton, Joseph; Brown, Catherine M; Massung, Robert F et al. · Clin Infect Dis · 2010

case_report · Level V

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Abstract

Recrudescent Rickettsia prowazekii infection, also known as Brill-Zinsser disease, can manifest decades after untreated primary infection but is rare in contemporary settings. We report the first known case of Brill-Zinsser disease in a patient originally infected with a zoonotic strain of R. prowazekii acquired from flying squirrels.

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