All issues > Volume 32(12); 1989

Original Article

J Korean Pediatr Soc. 1989;32(12):1736-1739. Published online December 31, 1989.

A Case of Rickettsia Typhi.

Deuk Hwan Jun¹, Sang Joo Han¹, Bae Young Kim¹, Won Il Park¹, Kyung Ja Lee¹

¹Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea

Received: February 25, 1989;  Accepted: August 14, 1989.

Abstract

We experienced one case of rickettsia typhi. This 6 years old male was admitted to Sacred Heart Hospital because of fever, Headache and myalgia for 10 days. Physical examination showed him to have injection of throat, dry lips with no skin rash. In the laboratory findings, the CSF showed cell count 22/mm3and suger and protein were with in normal limit. In peripheral blood smear, moderate left shifting was seen, otherwise, it was normal. In the indirect immunofluorescent test R. TYPHI Ab titer was above of IgG 1280, IgM 1280. We made a diagnosis of R. typhi and managed with doxycycline. He was discharged on 15th hospital day. We finally conclude that in case of FUO, we must think of RICKETTSIAL disease and it must be confirmed by laboratory.

Keywords :Rickettsia typhi