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Volume 3, Number 3—September 1997

Dispatch

Jail Fever (Epidemic Typhus) Outbreak in Burundi

D. Raoult, V. Roux, J.B. Ndihokubwayo, G. Bise, D. Baudon, G. Martet, and R. Birtles

Main Article

Table

Clinical and serologic data (by microimmunofluorescence) for nine patients with louse-borne typhus

Patient number One Two Three Four Five Six Seven Eight Nine
Age (yrs) 28 21 33 20 27 25 28 50 27
Onset date 1/25/96 1/26/96 1/6/96 1/19/96 1/20/96 1/19/96 12/16/95 1/13/96 1/20/96
Peak fever (°C) 40 39.7 40 39.5 40 39.5 39.7 39 40
Neurologic signs no no yes yes yes yes yes yes yes
mental confusion - - yes no yes yes yes yes yes
seizures - - no yes no no no no no
coma - - yes no no no yes yes no
Rash yes no yes no no no no no no
purpuric no - yes - - - - - -
Pulmonary signs yes no no yes yes yes yes no no
cough yes - - yes yes no no - -
dyspnea yes - - no no yes yes - -
Vomiting yes no yes yes no yes yes no no
Splenomegaly no yes yes no no no yes no no
Hypotension yes no no no yes no yes no yes
Death no no no no no no yes no yes
Anti-R. prowazekii IgG titer 256 1024 2048 256 256 512 4096 1024 256
Anti-R. prowazekii IgM titer 256 512 512 256 512 512 7 256 1024 512
Anti-R. typhi IgG titer 64 512 128 256 64 0 1024 1024 64
Anti-R. typhi IgM titer 256 512 512 256 512 512 256 1024 512

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