Emerging Infectious Disease ISSN: 1080-6059

Jail Fever (Epidemic Typhus) Outbreak in Burundi

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

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