Volume 21, Number 3—March 2015
Dispatch
Reemergence of Murine Typhus in Galveston, Texas, USA, 2013
Lucas S. Blanton
, Rahat F. Vohra, Donald H. Bouyer, and David Walker
, Rahat F. Vohra, Donald H. Bouyer, and David Walker
Table 1
Summary of reciprocal antibody titers in 12 patients with murine typhus, Galveston, Texas, 2013*
| Patient no. | Illness duration† | Acute titer (date collected) | Convalescent titer (date collected) | Diagnosis by case definition |
|---|---|---|---|---|
| 1 | 12 d | 256 (Apr 10) | 1,024 (Apr 30) | Confirmed |
| 4‡ | 4 d | NR (May 23) | NA | Confirmed |
| 6 | 4 d | NR (Jun 16) | 128 (Jul 2) | Confirmed |
| 8 | 7 d | NR (Jul 10) | 512 (Aug 8) | Confirmed |
| 9 | 10 d | NR (Jul 16) | 256 (Jul 30) | Confirmed |
| 10 | 13 d | NR (Jul 19) | 256 (Jul 30) | Confirmed |
| 17 | 6 d | NR (Sep 27) | 1,024 (Dec 13) | Confirmed |
| 13 | 8 d | 256 (Jul 29) | NA | Probable |
| 15 | 8 d | 256 (Aug 9) | NA | Probable |
| 16§ | 3 wk¶ | 256 (Jul 30) | NA | Probable |
| 19 | 3 wk | 512 (Oct 30) | NA | Probable |
| 20§ | 8 d | 256 (Mar 26) | NA | Probable |
*NR, nonreactive at a titer of 1:64; NA, not available.
†Duration of illness before workup and treatment.
‡Confirmed by culture isolate.
§Case identified retrospectively.
¶Patient was treated with levofloxacin 2 weeks before murine typhus workup.
Page created: February 18, 2015
Page updated: February 18, 2015
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