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10.1136/bcr-2020-239471

http://scihub22266oqcxt.onion/10.1136/bcr-2020-239471
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33148588!7640496!33148588
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suck abstract from ncbi

pmid33148588      BMJ+Case+Rep 2020 ; 13 (11): ä
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  • Murine typhus mistaken for COVID-19 in a young man #MMPMID33148588
  • Patel HM
  • BMJ Case Rep 2020[Nov]; 13 (11): ä PMID33148588show ga
  • Fever is a widely recognised presenting symptom of COVID-19. Consequently, other febrile illnesses may be difficult to distinguish from COVID-19-leading to delays in diagnosis and treatment. One such illness is murine typhus, a fleaborne illness with worldwide distribution caused by Rickettsia typhi It often presents with fever, headache and myalgia, all of which have been commonly reported with COVID-19. Although the disease is usually mild with a good prognosis, there have been reports of severe illness and death. I present a case of murine typhus in a young male who had 2 weeks of headaches and daily fevers during the COVID-19 pandemic. He was ultimately tested for murine typhus when his occupation as a dog trainer was queried, and he experienced resolution of symptoms after treatment with doxycycline. During this pandemic, clinicians must be vigilant of other febrile illnesses whose symptoms overlap with COVID-19.
  • |*Typhus, Endemic Flea-Borne/diagnosis/drug therapy/microbiology/physiopathology[MESH]
  • |Adult[MESH]
  • |Ambulatory Care/methods[MESH]
  • |Animals[MESH]
  • |Anti-Bacterial Agents/administration & dosage[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Diagnosis, Differential[MESH]
  • |Disease Reservoirs/microbiology[MESH]
  • |Disease Transmission, Infectious[MESH]
  • |Dogs[MESH]
  • |Doxycycline/*administration & dosage[MESH]
  • |Fever/*diagnosis/etiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Occupational Exposure/*analysis[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |Rickettsia typhi/*isolation & purification[MESH]
  • |SARS-CoV-2[MESH]


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