Key result
A 12-year-old boy with murine typhus presented with myositis and paraparesis, highlighting that endemic typhus should be considered in the differential diagnosis of myositis.
Case Report (n=1)
Endemic typhus should be considered in the differential diagnosis of myositis, especially in areas with high prevalence.
May support adding endemic typhus to myositis differentials in endemic areas; leaves open need for larger studies to confirm association.
A 12-year-old boy presented with fever, lower extremity pain and weakness. Examination revealed paraparesis, thigh and calf tenderness. Labs showed high creatinine phosphokinase and Rickettsia typhi titers. This case illustrates endemic typhus should be considered in the differential diagnosis of myositis especially in areas with high prevalence of the disease. To our knowledge, this is the first reported case of myositis and paraparesis associated with a case of murine typhus.
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Seshadri et al. (2014) conducted a case report in Murine typhus with myositis (n=1). Murine typhus was evaluated on Myositis and paraparesis. A 12-year-old boy with murine typhus presented with myositis and paraparesis, highlighting that endemic typhus should be considered in the differential diagnosis of myositis.
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