Murine typhus, a newly recognised problem in the Waikato

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dc.contributor.author Gray, E en
dc.contributor.author Atatoa-Carr, Polly en
dc.contributor.author Bell, A en
dc.contributor.author Roberts, S en
dc.contributor.author Al Mudallal, D en
dc.contributor.author Mills, G en
dc.contributor.editor Buckenham, T en
dc.contributor.editor Mulder, R en
dc.contributor.editor Beasley, R en
dc.contributor.editor Connor, J en
dc.contributor.editor Reid, J en
dc.date.accessioned 2012-05-25T01:28:24Z en
dc.date.issued 2007-08-10 en
dc.identifier.citation New Zealand Medical Journal 120(1259) 10 Aug 2007 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/18440 en
dc.description.abstract Aim To characterise and investigate patients diagnosed with murine typhus in the Waikato District Health Board (DHB) region during 2006. Method We reviewed the hospital and general practitioner records of all patients presenting with clinical and serological evidence of murine typhus. All patients were interviewed by telephone using a semi-structured questionnaire to identify environmental risk factors for infection. A limited, retrospective serosurvey was undertaken and surveillance was enhanced. Results 12 patients were identified, all had either lived, or spent considerable time, in rural areas; 7 patients had seen rats on their properties ‘regularly’ and 3 remembered fleabites within the incubation period of the illness. The classic triad of symptoms is fever, headache, and rash—these symptoms were seen in 12, 11, and 8 patients respectively; lethargy, myalgias, nausea, and vomiting were also common. 11 patients had abnormal liver function tests at presentation, and 7 had low platelets. Treatment with doxycycline was associated with a shorter hospital stay. Conclusion Murine typhus has now been confirmed in rural areas throughout the Waikato DHB region. Rats are likely associated with disease in rural communities and rat control is a complex issue. However, a greater awareness of the disease should lead to earlier diagnosis and treatment. en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Murine typhus, a newly recognised problem in the Waikato en
dc.type Journal Article en
pubs.issue 1259 en
pubs.volume 120 en
dc.rights.holder Copyright: New Zealand Medical Association en
pubs.author-url https://www.nzma.org.nz/journal/read-the-journal/all-issues/2000-2009/2007 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 294011 en
pubs.number 2661 en
pubs.record-created-at-source-date 2012-02-14 en


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