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Rickettsia typhi

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prevalence is actually higher than the measured value, since murine typhus is often underreported and misdiagnosed because of its non-specific and mild clinical presentation (fever, headache, generalized pain, and rashes). Undiagnosed infections are predicted to outnumber reported cases by 4:1. A
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causative agent from nearly every continent around the globe except for Antarctica. In addition to the widespread distribution, the bacterium is particularly concentrated in regions that boast warmer climates year-round and hug the coasts. This predilection is due to these regions' favourable
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vector) through a blood meal, and is then transmitted from an infected flea to another susceptible rat through direct contact with the infectious feces or tissues of the vector. Transmission through contact with arthropod feces may be through an open wound, the
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programs to remove the flea and rodent reservoirs responsible for rickettsial transmission in urban dwellings. Murine typhus infections in the present are more sporadic and infrequent, with fewer than 100 cases reported in the US annually. Nevertheless,
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assays and western blot analysis together provide reliable differentiation among the species. Serum cross-adsorbent analysis alone is also a reliable method for differentiation, as cross reaction between the two species is common.
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There are various methods to differentiate among the typhus group members. One method is through restriction fragment length polymorphism (RFLP), which can differentiate the two species based on the ompB gene and associated
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in indoor environments, typically affecting individuals in occupations or living conditions that surround heavy rodent and flea populations. The murine typhus disease is generally considered a mild affliction, with a 4%
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McLeod, Michael P.; Qin, Xiang; Karpathy, Sandor E.; Gioia, Jason; Highlander, Sarah K.; Fox, George E.; McNeill, Thomas Z.; Jiang, Huaiyang; Muzny, Donna; Jacob, Leni S.; Hawes, Alicia C. (2004-09-01).
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is still regarded as a bacterium of considerable public health significance, and outbreaks are commonly reported in the Southern US, Southern Europe, Asia, Africa, and Australia. It is estimated that
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Historically, thousands of murine typhus cases were reported in the United States every year; however, the disease experienced a sudden decline in incidence in the 1940s with the implementation of
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agent with humans serving as aberrant dead-end hosts, and thus do not play an ecological role in the bacterium's transmission and lifecycle. Humans are most commonly infected through flea and rat
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and rarely dogs. Cats and opossums are thought to be fairly significant reservoirs for murine typhus in urban environments due to their unpicky ectoparasites and close association with humans.
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from the rat flea is affected by contact with rickettsia-containing flea feces during or after blood feeding, as well as via flea bite. The rickettsiae have no harmful effects on the
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Mansueto, Pasquale; Vitale, Giustina; Cascio, Antonio; Seidita, Aurelio; Pepe, Ilenia; Carroccio, Antonio; di Rosa, Salvatore; Rini, Giovam Battista; Cillari, Enrico (2011-09-06).
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to humans: a classic rat-flea-rat cycle that is most well studied and common, and a secondary periodomestic cycle that could involve cats, dogs, opossums, sheep, and their fleas.
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Eremeeva, Marina E.; Warashina, Wesley R.; Sturgeon, Michele M.; Buchholz, Arlene E.; Olmsted, Gregory K.; Park, Sarah Y.; Effler, Paul V.; Karpathy, Sandor E. (October 2008).
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Minervino, Antonio H.H.; Labruna, Marcelo B.; Dias, Salatiel R.; Costa, Francisco B.; Martins, Thiago F.; da Silva, Phablo N.S.; Faccini-Martínez, Álvaro A. (September 2020).
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Sorvillo, Frank J.; Gondo, Barbara; Emmons, Richard; Ryan, Patrick; Waterman, Stephen H.; Tilzer, Arthur; Andersen, Ellen M.; Murray, Robert A.; Barr, A. Ralph (1993-02-01).
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is the antibiotic of choice as it is shown to shorten the course of illness, although 99% of those infected will clear the disease within weeks without specific treatment.
2678:"Development of quantitative real-time PCR assays to detect Rickettsia typhi and Rickettsia felis, the causative agents of murine typhus and flea-borne spotted fever" 3384: 2469:
Adjemian, Jennifer; Parks, Sharyn; McElroy, Kristina; Campbell, Jill; Eremeeva, Marina E.; Nicholson, William L.; McQuiston, Jennifer; Taylor, Jeffery (2010).
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in untreated patients. Proper murine typhus oversight is especially critical in elderly patients that often require hospitalization as the disease progresses.
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transmission from animal reservoirs to human: a classic rat-flea-rat cycle, and a peridomestic cycle involving cats, dogs, opossums, sheep, and their fleas.
1013:. The use of real-time PCR can allow for the detection and confirmation of R. typhi earlier than serological tests. Membrane protein ompB and prsA  97:
was once one of the most prevalent causes of rickettsial diseases worldwide, but has since experienced a drop in case reports with the implementation of
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recent study presented a clinical case of a patient that works in the Brazilian Amazon and presented an unspecific febrile illness probably caused by
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Thus far, there have not been many studies on the periodomestic animal cycle of transmission, with the majority that have been done focusing on cats.
1822:"An Epidemiological Study of Endemic Typhus (Brill's Disease) in the Southeastern United States: With Special Reference to Its Mode of Transmission" 3358: 821:
has an incredibly wide host range and can thus transmit the bacterium to a broad set of mammalian hosts, including humans; members of the genus
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is concentrated in warmer climate and coastal ports where there is an abundance of rats and their fleas, which are the preferred hosts for the
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down to the species level. Microimmunofluorescence is a highly sensitive test that is often used in endemic areas to confirm infection by
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and gastro intestinal signs. Epidemiologist Kenneth F Maxy recognized this and began questioning and isolating the presence of another
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Nogueras, MarĂ­a-Mercedes; Pons, Immaculada; Pla, JĂșlia; Ortuño, Anna; Miret, Jaime; Sanfeliu, Isabel; Segura, Ferran (2013-04-12).
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Nogueras, Maria Mercedes; Pons, Immaculada; Ortuño, Ana; Miret, Jaime; Pla, Julia; Castellà, Joaquim; Segura, Ferran (2013-08-06).
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Blanton, Lucas S.; Dumler, J. Stephen; Walker, David H. (2015-01-01), Bennett, John E.; Dolin, Raphael; Blaser, Martin J. (eds.),
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of the mammalian host. There is evidence that flea bite transmission is possible as well after the bacterium undergoes a certain
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Rauch, Jessica; Eisermann, Philip; Noack, Bernd; Mehlhoop, Ute; Muntau, Birgit; SchÀfer, Johannes; Tappe, Dennis (July 2018).
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Rauch, Jessica; Eisermann, Philip; Noack, Bernd; Mehlhoop, Ute; Muntau, Birgit; SchÀfer, Johannes; Tappe, Dennis (July 2018).
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areas infested with rats. Most patients present with a fever, and many have a rash and headache, although it can also lead to
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There is also some evidence that other domestic animals such as dogs and sheep, as well as opossums, could be involved in the
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However, serologic tests take about 15 days after the onset of symptoms for there to be diagnostically significant titers of
3376: 3034:"Development of a duplex real time PCR for the detection of Rickettsia spp. and typhus group rickettsia in clinical samples" 3083:"Comparative evaluation of two Rickettsia typhi-specific quantitative real-time PCRs for research and diagnostic purposes" 2676:
Henry, Katherine M.; Jiang, Ju; Rozmajzl, Patrick J.; Azad, Abdu F.; Macaluso, Kevin R.; Richards, Allen L. (2007-02-01).
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illness that is mainly transmitted by the fleas of rodents, commonly associated with cities and ports where urban rats (
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Papp, Stefanie; Rauch, Jessica; Kuehl, Svenja; Richardt, Ulricke; Keller, Christian; Osterloh, Anke (February 2017).
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samples. Even when stringent physiologic conditions are met, when grown in media that mimics the environment of host
2520:"A Suburban Focus of Endemic Typhus in Los Angeles County: Association with Seropositive Domestic Cats and Opossums" 2764:"Histopathology and Immunohistologic Demonstration of the Distribution of Rickettsia typhi in Fatal Murine Typhus" 1028:
Vitellus or "yolk" of an embryonic egg is a commonly used site for growth of the obligate intracellular bacterium
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infection that has no effect on host life span or reproductivity. Because of its versatility in transmission, the
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Walker, D. H.; Feng, H. M.; Ladner, S.; Billings, A. N.; Zaki, S. R.; Wear, D. J.; Hightower, B. (October 1997).
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Abdad, Mohammad Yazid; Abdallah, Rita Abou; Fournier, Pierre-Edouard; Stenos, John; Vasoo, Shawn (2018-08-01).
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infections from cats, but instead an association between high rates of infected cats related to human cases of
3198:"Serological Differentiation of Murine Typhus and Epidemic Typhus Using Cross-Adsorption and Western Blotting" 3136:
Peniche-Lara, Gaspar; Zavala-Velazquez, Jorge; Dzul-Rosado, Karla; Walker, D.H.; Zavala-Castro, Jorge (2013).
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Gillespie, Joseph J.; Ammerman, Nicole C.; Beier-Sexton, Magda; Sobral, Bruno S.; Azad, Abdu F. (2009-03-01).
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is difficult to diagnose clinically. In addition to non-uniform and non-specific symptoms, there is a lack of
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Walker, David H.; Parks, Francis M.; Betz, Thomas G.; Taylor, Jeffery P.; Muehlberger, Joan W. (1989-06-01).
2725:"Immunohistochemical diagnosis of typhus rickettsioses using an anti-lipopolysaccharide monoclonal antibody" 1423:"Laboratory diagnosis of rickettsioses: current approaches to diagnosis of old and new rickettsial diseases" 858:
The bacterium transmits from an infected rat (or other mammalian host) to a susceptible rat flea (or other
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could be introduced through the international movement of ships. These ports can subsequently transfer the
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infections are also reported from late Spring to early Autumn when flea populations are especially high.
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is a flea-borne disease organism and is widely distributed throughout the world. There are two cycles in
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level 2/3 organism (dependent upon the tissue being worked with). As obligate intracellular pathogens, R
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La Scola, Bernard; Rydkina, Lena; Ndihokubwayo, Jean-Bosco; Vene, Sirkka; Raoult, Didier (2000-07-01).
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is transmitted between competent flea and mammalian hosts through flea bites and contact with infected
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may generally be clinically mild, but severe and even fatal cases have been reported. The severity of
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Giulieri, Stefano; Jaton, Katia; Cometta, Alain; Trellu, Laurence T.; Greub, Gilbert (2012-02-01).
2519: 2572:"The role of dogs in the eco-epidemiology of Rickettsia typhi, etiological agent of Murine typhus" 3448: 1128:"Complete Genome Sequence of Rickettsia typhi and Comparison with Sequences of Other Rickettsiae" 141: 1005:
Laboratory techniques such as real-time PCR and microimmunofluorescence can be used to identify
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Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases (Eighth Edition)
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effective during the acute stages of the illness, leading to delayed appropriate treatment.
3319: 2412: 2132: 1696:"Identification of a novel rickettsial infection in a patient diagnosed with murine typhus" 1361:"Identification of a novel rickettsial infection in a patient diagnosed with murine typhus" 618: 418: 339:, he detailed this in an article released in 1926. Maxy speculated the presence of another 982:. And so the diagnosis is often confirmed after the patient has either recovered or died. 535:
which is a flea species that readily bites humans. So far, there has been no direct human
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in the arthropod vector. Female fleas can also pass the infection onto offspring through
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Schriefer, M. E.; Sacci, J. B.; Dumler, J. S.; Bullen, M. G.; Azad, A. F. (1994-04-01).
1626:"Clinical, Laboratory, and Epidemiologic Features of Murine Typhus in 97 Texas Children" 3170: 3137: 3118: 2940: 2880: 2495: 2443: 2400: 2376: 2343: 2312: 2279: 2218: 2185: 2166: 2145: 2095: 2052: 1849: 1841: 1790: 1757: 1517: 1484: 1333: 1281: 1261: 1216: 1189: 956: 924: 792: 170: 1728: 1695: 1455: 1422: 1393: 1360: 1160: 1127: 738:
since the patient presented specific antibodies to this bacteria. This shows that the
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typhus in humans that is distributed worldwide. As with all rickettsial organisms,
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lice and bloodsucking mites of rats have been reported to be capable of acquiring
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infection in mammals and fleas. Murine typhus was once one of the most prevalent
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Azad, A. F.; Radulovic, S.; Higgins, J. A.; Noden, B. H.; Troyer, J. M. (1997).
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has an uncertain history, as it may have long gone shadowed by epidemic typhus (
3282: 2959:"Rickettsia typhi (Murine typhus)- Infectious Disease and Antimicrobial Agents" 2280:"Rickettsia typhi and R. felis in Rat Fleas (Xenopsylla cheopis), Oahu, Hawaii" 1885: 1868: 1642: 799:
species. The bacterium's lifecycle classically involves the Oriental rat flea (
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are similar to those produced by other diseases, including other rickettsiae,
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is common in sea ports, where there is an abundance of rats and their fleas.
65:-borne disease that is best known to be the causative agent for the disease 3239: 3179: 3114: 3067: 2889: 2863: 2724: 2709: 2659: 2603: 2504: 2486: 2452: 2385: 2321: 2295: 2201: 2162: 2061: 2035: 1902: 1799: 1659: 1569:
Eremeeva, Marina E.; Dasch, Gregory A. (2012-01-01), Long, Sarah S. (ed.),
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relationship with these insect and non-human hosts, as it only produces an
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Whiteford, Sarah F.; Taylor, Jeffery P.; Dumler, J. Stephen (2001-03-01).
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Whiteford, Sarah F.; Taylor, Jeffery P.; Dumler, J. Stephen (2001-03-01).
1464: 1402: 1277: 1206: 998:, pathogen activity cannot survive very long. A common method for growing 354:
has historically been under diagnosed compared to its typhus group member
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Principles and Practice of Pediatric Infectious Diseases (Fourth Edition)
948: 868: 788: 750: 642: 597:(endemic typhus) in humans and is distributed worldwide. It is an acute, 566: 346:
transmitting this new form of typhus, which would later be discovered as
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Schriefer, M E; Sacci, J B; Dumler, J S; Bullen, M G; Azad, A F (1994).
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TRAUB, R; R, TRAUB; JR, WISSEMAN CL; AZAD, ABDULRAHMAN FARHANG (1978).
1845: 1821: 1190:"New Insight into Immunity and Immunopathology of Rickettsial Diseases" 842: 773: 706: 685: 237: 121: 3153: 2344:"Louse- and flea-borne rickettsioses: biological and genomic analyses" 1024: 951:
cells, and serodiagnostic tests such as the Weil-Felix test, CF test,
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infection has been associated with age, race, and delayed diagnosis.
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lead to the creation of the typhus group Rickettsia, which contains
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cells and increase the number of bacteria available to infect flea
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fragments have been shown to be identifiable markers in qPCR for
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enter the skin and spread through the bloodstream to infect the
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to nearby cities that line the main routes of trade. Spikes in
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using standard plating methods seen with most other organisms.
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for life, giving them potential for infecting large number of
2626:"Murine Typhus: An Unrecognized Suburban Vectorborne Disease" 952: 324: 114: 2468: 895:
bacterium is very successful in perpetuating its numbers in
2401:"Molecular Detection of Rickettsia typhi in Cats and Fleas" 2017: 1755: 1485:"Host-cell interactions with pathogenic Rickettsia species" 1298: 1187: 1014: 781: 585: 577:, which is collectively known as 'Rickettsial vasculitis' 307:
Rickettsia typhus group rash, a common symptom of infection
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climatic conditions for the survival of flea and wildlife
3138:"Simple Method to Differentiate among Rickettsia Species" 2845: 2183: 1577:, London: Content Repository Only!, pp. 930–938.e4, 851:), opossums, shrews, skunks, house mice and their fleas ( 665: 136:. However, newer laboratory techniques such as real-time 2722: 2517: 2398: 990:
or sterile conditions, and must be grown in tissue, or
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transmission cycle, but studies are currently limited.
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geographical distribution can be wider than expected.
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in the environment. Seaports are exceptional foci for
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JAMA: The Journal of the American Medical Association
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The American Journal of Tropical Medicine and Hygiene
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can be difficult to isolate, and are not able to be
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Journal of Molecular Microbiology and Biotechnology
2811: 2186:"Flea-borne rickettsioses: ecologic considerations" 373: 2020:"Typhus Group Rickettsiosis, Germany, 2010–20171" 1301:"Typhus Group Rickettsiosis, Germany, 2010–20171" 569:lining the blood vessels. This leads to vascular 132:species, with the traditional diagnosis based on 3440: 2246:"The ecology of murine typhus-a critical review" 1873:Archives of Pediatrics & Adolescent Medicine 1630:Archives of Pediatrics & Adolescent Medicine 573:, damage to vascular integrity, and compromised 501:of either the vector or the rat, showing a true 2250:The Ecology of Murine Typhus. A Critical Review 1483:Sahni, Sanjeev K; Rydkina, Elena (2009-03-30). 947:-based detection, immunodetection, circulating 930: 87:transmission from animal reservoirs containing 2902: 2848:"Typhus Group Rickettsiosis, Brazilian Amazon" 745: 2903:Walker, D. H.; Fishbein, D. B. (1991-05-01). 1568: 439: 2243: 1482: 1002:is through the yolk sacs of embryonic eggs. 77:is a zoonotic agent that causes the disease 1420: 688:diseases in the world, having isolated the 3038:FEMS Immunology & Medical Microbiology 2125:Annals of the New York Academy of Sciences 505:relationship. Infected fleas can maintain 474:in nature. While the rat flea is the main 3229: 3202:Clinical Diagnostic Laboratory Immunology 3169: 3049: 2879: 2641: 2494: 2442: 2424: 2375: 2311: 2217: 2144: 2051: 1884: 1789: 1727: 1641: 1516: 1454: 1392: 1332: 1243: 1215: 1205: 1159: 845:as well, including cats and their fleas ( 528:can be present in cats and the cat flea, 2814:"192 - Rickettsia typhi (Murine Typhus)" 2623: 1023: 749: 652: 586:Murine typhus (endemic typhus) in humans 302: 35:. It belongs to the typhus group of the 3027: 3025: 2671: 2669: 2337: 2335: 2333: 2331: 2273: 2271: 2118: 2077: 2075: 2073: 2071: 1966: 1964: 1962: 1960: 1958: 1956: 1954: 1952: 1950: 1948: 1946: 1944: 1942: 1940: 1938: 1936: 1934: 1932: 1689: 1421:Scola, B. La; Raoult, D. (1997-11-01). 1244:Azad, A. F.; Traub, R. (October 1989). 935:The laboratory tests available for the 298: 3441: 3191: 3189: 2981: 2905:"Epidemiology of rickettsial diseases" 2807: 2805: 2768:American Journal of Clinical Pathology 2624:Civen, Rachel; Ngo, Van (2008-03-15). 2619: 2617: 2615: 2613: 2565: 2563: 2561: 2464: 2462: 2239: 2237: 1930: 1928: 1926: 1924: 1922: 1920: 1918: 1916: 1914: 1912: 1815: 1813: 1811: 1809: 1751: 1749: 1747: 1687: 1685: 1683: 1681: 1679: 1677: 1675: 1673: 1671: 1669: 1619: 1564: 1562: 1560: 1558: 1556: 1478: 1476: 1474: 1416: 1414: 1412: 1354: 1352: 1239: 1237: 1235: 1120: 1118: 1116: 1114: 1112: 1110: 1108: 1058:infections usually being less severe. 666:Geographical and temporal distribution 490:, either naturally or experimentally. 385:, obligate intracellular, rod shaped, 3258: 3257: 1819: 1617: 1615: 1613: 1611: 1609: 1607: 1605: 1603: 1601: 1599: 1554: 1552: 1550: 1548: 1546: 1544: 1542: 1540: 1538: 1536: 1194:Clinical and Developmental Immunology 1183: 1181: 1179: 902: 516: 291:(Wolbach and Todd, 1920) Philip, 1943 53:). This bacterium is recognized as a 28:, obligate intracellular, rod shaped 3413:603d5250-79c0-4999-ac60-472010cb8e67 3022: 2951: 2666: 2328: 2268: 2068: 2011: 1970: 943:species includes: shell vial assay, 335:within the United States aside from 323:, and thought to be transmitted via 3186: 3087:Medical Microbiology and Immunology 2802: 2610: 2558: 2459: 2234: 2081: 1989:10.1146/annurev.en.35.010190.003005 1909: 1806: 1744: 1666: 1471: 1409: 1349: 1232: 1105: 543:in the same geographical location. 13: 2896: 2146:10.1111/j.1749-6632.2003.tb07424.x 2121:"Rickettsial Actin-Based Motility" 2096:10.1016/B978-0-12-397169-2.00111-6 1596: 1533: 1292: 1262:10.1111/j.1365-2915.1989.tb00251.x 1176: 959:, immunoperoxidase, line blot and 397:bacterium that is recognized as a 14: 3460: 1250:Medical and Veterinary Entomology 907:As with all rickettsiae species, 3051:10.1111/j.1574-695X.2011.00910.x 2909:European Journal of Epidemiology 1762:Journal of Clinical Microbiology 1700:Journal of Clinical Microbiology 1571:"179 - Other Rickettsia Species" 1439:10.1128/jcm.35.11.2715-2727.1997 1427:Journal of Clinical Microbiology 1365:Journal of Clinical Microbiology 1144:10.1128/JB.186.17.5842-5855.2004 470:also play a role in maintaining 374:Cellular morphology and motility 174: 3129: 3074: 2975: 2839: 2755: 2716: 2511: 2392: 2177: 2112: 1973:"Epidemiology of Murine Typhus" 1860: 1099: 680:bacterium that establishes the 648: 553: 466:), but other rodents and their 2088:Molecular Medical Microbiology 772:obligately resides within the 758:) is a common vector host for 705:as infected rodents and their 1: 3249: 3214:10.1128/CDLI.7.4.612-616.2000 2682:Molecular and Cellular Probes 1712:10.1128/JCM.32.4.949-954.1994 1377:10.1128/jcm.32.4.949-954.1994 1066:are composed of very similar 829:to undergo massive rounds of 2982:Dumler, J. S. (1991-09-11). 2852:Emerging Infectious Diseases 2630:Clinical Infectious Diseases 2588:10.1016/j.vetmic.2012.11.043 2475:Emerging Infectious Diseases 2426:10.1371/journal.pone.0071386 2284:Emerging Infectious Diseases 2190:Emerging Infectious Diseases 2024:Emerging Infectious Diseases 1305:Emerging Infectious Diseases 1062:and its typhus group member 931:Diagnosis and identification 424: 417:, creating movement through 7: 2119:Heinzen, Robert A. (2003). 2082:Liu, Dongyou (2015-01-01). 1977:Annual Review of Entomology 1074:can be differentiated from 746:Host range and transmission 10: 3467: 1971:Azad, A F (January 1990). 1886:10.1001/archpedi.155.3.396 1820:Maxcy, Kenneth F. (1926). 1643:10.1001/archpedi.155.3.396 1054:can be very similar, with 580: 440:Classic rat-flea-rat cycle 311:In the early 20th century 3266: 3099:10.1007/s00430-016-0480-z 2694:10.1016/j.mcp.2006.06.002 2536:10.4269/ajtmh.1993.48.269 883:appears to be in a truly 877:transovarial transmission 447:circulates amongst rats ( 281: 274: 171:Scientific classification 169: 162: 3000:10.1001/jama.266.10.1365 986:are not able to grow in 593:is a causative agent of 144:can be used to identify 124:tests available for the 2576:Veterinary Microbiology 1132:Journal of Bacteriology 957:microimmunofluorescence 754:The Oriental rat flea ( 524:It has been shown that 148:faster and down to the 142:microimmunofluorescence 2864:10.3201/eid2609.201305 2487:10.3201/eid1603.091028 2360:10.1051/vetres:2008050 2296:10.3201/eid1410.080571 2202:10.3201/eid0303.970308 2036:10.3201/eid2407.180093 1317:10.3201/eid2407.180093 1032: 762: 662: 484:P. h. humanus, Polypax 308: 101:control programs. The 2780:10.1093/ajcp/91.6.720 1826:Public Health Reports 1036:Differentiation from 1027: 867:(inhalation), or the 848:Ctenocephalides felis 753: 656: 575:vascular permeability 531:Ctenocephalides felis 350:. It is thought that 306: 1774:10.1128/JCM.01728-17 853:Leptopsylla segnis), 419:actin based motility 299:History and taxonomy 57:level 2/3 organism. 16:Species of bacterium 2963:www.antimicrobe.org 2417:2013PLoSO...871386N 2348:Veterinary Research 2137:2003NYASA.990..535H 1489:Future Microbiology 1207:10.1155/2012/967852 966:Traditionally, the 358:. The discovery of 208:Alphaproteobacteria 2921:10.1007/BF00145672 1033: 961:Western immunoblot 925:case fatality rate 903:Zoonotic potential 802:Xenopsylla cheopis 763: 756:Xenopsylla cheopis 663: 517:Peridomestic cycle 463:Xenopyslla cheopis 309: 120:There are several 39:genus, along with 3436: 3435: 3421:Open Tree of Life 3260:Taxon identifiers 3154:10.1159/000348298 2994:(10): 1365–1370. 2827:978-1-4557-4801-3 2735:(10): 1038–1042. 2290:(10): 1613–1615. 1832:(52): 2967–2995. 1584:978-1-4377-2702-9 1433:(11): 2715–2727. 1138:(17): 5842–5855. 873:incubation period 865:respiratory tract 814:Rattus norvegicus 805:) and the black ( 791:cells lining the 610:Rattus norvegicus 456:Rattus norvegicus 296: 295: 3456: 3429: 3428: 3416: 3415: 3406: 3405: 3393: 3392: 3390:rickettsia-typhi 3380: 3379: 3367: 3366: 3354: 3353: 3341: 3340: 3328: 3327: 3315: 3314: 3302: 3301: 3300: 3298:Rickettsia typhi 3287: 3286: 3285: 3268:Rickettsia typhi 3255: 3254: 3244: 3243: 3233: 3193: 3184: 3183: 3173: 3133: 3127: 3126: 3078: 3072: 3071: 3053: 3029: 3020: 3019: 2979: 2973: 2972: 2970: 2969: 2955: 2949: 2948: 2900: 2894: 2893: 2883: 2858:(9): 2294–2296. 2843: 2837: 2836: 2835: 2834: 2809: 2800: 2799: 2759: 2753: 2752: 2729:Modern Pathology 2720: 2714: 2713: 2673: 2664: 2663: 2645: 2621: 2608: 2607: 2567: 2556: 2555: 2515: 2509: 2508: 2498: 2466: 2457: 2456: 2446: 2428: 2396: 2390: 2389: 2379: 2339: 2326: 2325: 2315: 2275: 2266: 2265: 2241: 2232: 2231: 2221: 2181: 2175: 2174: 2148: 2116: 2110: 2109: 2079: 2066: 2065: 2055: 2030:(7): 1213–1220. 2015: 2009: 2008: 1968: 1907: 1906: 1888: 1864: 1858: 1857: 1817: 1804: 1803: 1793: 1753: 1742: 1741: 1731: 1691: 1664: 1663: 1645: 1621: 1594: 1593: 1592: 1591: 1566: 1531: 1530: 1520: 1501:10.2217/fmb.09.6 1480: 1469: 1468: 1458: 1418: 1407: 1406: 1396: 1356: 1347: 1346: 1336: 1311:(7): 1213–1220. 1296: 1290: 1289: 1241: 1230: 1229: 1219: 1209: 1185: 1174: 1173: 1163: 1122: 736:Rickettsia typhi 671:Rickettsia typhi 657:Transmission of 631:diagnostic tests 591:Rickettsia typhi 493:Transmission of 430:Rickettsia typhi 379:Rickettsia typhi 287: 285:Rickettsia typhi 179: 178: 164:Rickettsia typhi 160: 159: 150:Rickettsia typhi 21:Rickettsia typhi 3466: 3465: 3459: 3458: 3457: 3455: 3454: 3453: 3439: 3438: 3437: 3432: 3424: 3419: 3411: 3409: 3401: 3396: 3388: 3383: 3375: 3370: 3362: 3357: 3349: 3344: 3336: 3331: 3323: 3318: 3310: 3305: 3296: 3295: 3290: 3281: 3280: 3275: 3262: 3252: 3247: 3194: 3187: 3134: 3130: 3079: 3075: 3030: 3023: 2980: 2976: 2967: 2965: 2957: 2956: 2952: 2901: 2897: 2844: 2840: 2832: 2830: 2828: 2810: 2803: 2760: 2756: 2721: 2717: 2674: 2667: 2622: 2611: 2582:(1–2): 97–102. 2568: 2559: 2516: 2512: 2467: 2460: 2397: 2393: 2340: 2329: 2276: 2269: 2242: 2235: 2182: 2178: 2117: 2113: 2106: 2080: 2069: 2016: 2012: 1969: 1910: 1865: 1861: 1838:10.2307/4578110 1818: 1807: 1754: 1745: 1692: 1667: 1622: 1597: 1589: 1587: 1585: 1567: 1534: 1481: 1472: 1419: 1410: 1357: 1350: 1297: 1293: 1242: 1233: 1186: 1177: 1123: 1106: 1102: 1041: 933: 905: 748: 668: 651: 588: 583: 559:Rickettsia spp. 556: 519: 460:and rat fleas ( 442: 427: 376: 329:musculoskeletal 301: 292: 289: 283: 270: 173: 17: 12: 11: 5: 3464: 3463: 3452: 3451: 3449:Rickettsiaceae 3434: 3433: 3431: 3430: 3417: 3407: 3394: 3381: 3368: 3355: 3342: 3329: 3316: 3303: 3288: 3272: 3270: 3264: 3263: 3251: 3248: 3246: 3245: 3208:(4): 612–616. 3185: 3148:(3): 203–208. 3128: 3073: 3021: 2974: 2950: 2915:(3): 237–245. 2895: 2838: 2826: 2801: 2774:(6): 720–724. 2754: 2715: 2665: 2643:10.1086/527443 2636:(6): 913–918. 2609: 2557: 2530:(2): 269–273. 2510: 2458: 2391: 2327: 2267: 2256:(4): 237–317. 2233: 2196:(3): 319–327. 2176: 2131:(1): 535–547. 2111: 2104: 2067: 2010: 1983:(1): 553–570. 1908: 1879:(3): 396–400. 1859: 1805: 1743: 1706:(4): 949–954. 1665: 1636:(3): 396–400. 1595: 1583: 1532: 1495:(3): 323–339. 1470: 1408: 1371:(4): 949–954. 1348: 1291: 1256:(4): 429–433. 1231: 1175: 1103: 1101: 1098: 1084:R. prowazekii. 1082:inserted into 1040: 1034: 932: 929: 904: 901: 831:binary fission 747: 744: 667: 664: 650: 647: 587: 584: 582: 579: 555: 552: 518: 515: 441: 438: 426: 423: 399:biocontainment 375: 372: 300: 297: 294: 293: 290: 279: 278: 272: 271: 264: 262: 258: 257: 250: 243: 242: 235: 231: 230: 228:Rickettsiaceae 225: 221: 220: 215: 211: 210: 205: 201: 200: 198:Pseudomonadota 195: 191: 190: 185: 181: 180: 167: 166: 111:R. typhi  69:, which is an 55:biocontainment 15: 9: 6: 4: 3: 2: 3462: 3461: 3450: 3447: 3446: 3444: 3427: 3422: 3418: 3414: 3408: 3404: 3399: 3395: 3391: 3386: 3382: 3378: 3373: 3369: 3365: 3360: 3356: 3352: 3347: 3343: 3339: 3334: 3330: 3326: 3321: 3317: 3313: 3308: 3304: 3299: 3293: 3289: 3284: 3278: 3274: 3273: 3271: 3269: 3265: 3261: 3256: 3241: 3237: 3232: 3227: 3223: 3219: 3215: 3211: 3207: 3203: 3199: 3192: 3190: 3181: 3177: 3172: 3167: 3163: 3159: 3155: 3151: 3147: 3143: 3139: 3132: 3124: 3120: 3116: 3112: 3108: 3104: 3100: 3096: 3092: 3088: 3084: 3077: 3069: 3065: 3061: 3057: 3052: 3047: 3043: 3039: 3035: 3028: 3026: 3017: 3013: 3009: 3005: 3001: 2997: 2993: 2989: 2985: 2978: 2964: 2960: 2954: 2946: 2942: 2938: 2934: 2930: 2926: 2922: 2918: 2914: 2910: 2906: 2899: 2891: 2887: 2882: 2877: 2873: 2869: 2865: 2861: 2857: 2853: 2849: 2842: 2829: 2823: 2819: 2815: 2808: 2806: 2797: 2793: 2789: 2785: 2781: 2777: 2773: 2769: 2765: 2758: 2750: 2746: 2742: 2738: 2734: 2730: 2726: 2719: 2711: 2707: 2703: 2699: 2695: 2691: 2687: 2683: 2679: 2672: 2670: 2661: 2657: 2653: 2649: 2644: 2639: 2635: 2631: 2627: 2620: 2618: 2616: 2614: 2605: 2601: 2597: 2593: 2589: 2585: 2581: 2577: 2573: 2566: 2564: 2562: 2553: 2549: 2545: 2541: 2537: 2533: 2529: 2525: 2521: 2514: 2506: 2502: 2497: 2492: 2488: 2484: 2480: 2476: 2472: 2465: 2463: 2454: 2450: 2445: 2440: 2436: 2432: 2427: 2422: 2418: 2414: 2411:(8): e71386. 2410: 2406: 2402: 2395: 2387: 2383: 2378: 2373: 2369: 2365: 2361: 2357: 2353: 2349: 2345: 2338: 2336: 2334: 2332: 2323: 2319: 2314: 2309: 2305: 2301: 2297: 2293: 2289: 2285: 2281: 2274: 2272: 2263: 2259: 2255: 2251: 2247: 2240: 2238: 2229: 2225: 2220: 2215: 2211: 2207: 2203: 2199: 2195: 2191: 2187: 2180: 2172: 2168: 2164: 2160: 2156: 2152: 2147: 2142: 2138: 2134: 2130: 2126: 2122: 2115: 2107: 2105:9780123971692 2101: 2097: 2093: 2090:: 2043–2056. 2089: 2085: 2078: 2076: 2074: 2072: 2063: 2059: 2054: 2049: 2045: 2041: 2037: 2033: 2029: 2025: 2021: 2014: 2006: 2002: 1998: 1994: 1990: 1986: 1982: 1978: 1974: 1967: 1965: 1963: 1961: 1959: 1957: 1955: 1953: 1951: 1949: 1947: 1945: 1943: 1941: 1939: 1937: 1935: 1933: 1931: 1929: 1927: 1925: 1923: 1921: 1919: 1917: 1915: 1913: 1904: 1900: 1896: 1892: 1887: 1882: 1878: 1874: 1870: 1863: 1855: 1851: 1847: 1843: 1839: 1835: 1831: 1827: 1823: 1816: 1814: 1812: 1810: 1801: 1797: 1792: 1787: 1783: 1779: 1775: 1771: 1767: 1763: 1759: 1752: 1750: 1748: 1739: 1735: 1730: 1725: 1721: 1717: 1713: 1709: 1705: 1701: 1697: 1690: 1688: 1686: 1684: 1682: 1680: 1678: 1676: 1674: 1672: 1670: 1661: 1657: 1653: 1649: 1644: 1639: 1635: 1631: 1627: 1620: 1618: 1616: 1614: 1612: 1610: 1608: 1606: 1604: 1602: 1600: 1586: 1580: 1576: 1572: 1565: 1563: 1561: 1559: 1557: 1555: 1553: 1551: 1549: 1547: 1545: 1543: 1541: 1539: 1537: 1528: 1524: 1519: 1514: 1510: 1506: 1502: 1498: 1494: 1490: 1486: 1479: 1477: 1475: 1466: 1462: 1457: 1452: 1448: 1444: 1440: 1436: 1432: 1428: 1424: 1417: 1415: 1413: 1404: 1400: 1395: 1390: 1386: 1382: 1378: 1374: 1370: 1366: 1362: 1355: 1353: 1344: 1340: 1335: 1330: 1326: 1322: 1318: 1314: 1310: 1306: 1302: 1295: 1287: 1283: 1279: 1275: 1271: 1267: 1263: 1259: 1255: 1251: 1247: 1240: 1238: 1236: 1227: 1223: 1218: 1213: 1208: 1203: 1199: 1195: 1191: 1184: 1182: 1180: 1171: 1167: 1162: 1157: 1153: 1149: 1145: 1141: 1137: 1133: 1129: 1121: 1119: 1117: 1115: 1113: 1111: 1109: 1104: 1097: 1094: 1090: 1085: 1081: 1077: 1076:R. prowazekii 1073: 1069: 1065: 1064:R. prowazekii 1061: 1057: 1053: 1052:R. prowazekii 1049: 1045: 1039: 1038:R. prowazekii 1031: 1026: 1022: 1020: 1016: 1012: 1008: 1003: 1001: 997: 993: 989: 985: 981: 977: 974:was based on 973: 969: 964: 962: 958: 954: 950: 946: 942: 938: 928: 926: 921: 918: 914: 910: 900: 898: 894: 890: 886: 882: 878: 874: 870: 866: 861: 856: 854: 850: 849: 844: 843:microparasite 840: 836: 832: 828: 824: 820: 816: 815: 811:) and brown ( 810: 809: 808:Rattus rattus 804: 803: 798: 794: 790: 786: 783: 779: 776:cells of the 775: 771: 770:microorganism 768: 761: 757: 752: 743: 741: 737: 732: 728: 723: 718: 716: 712: 708: 707:ectoparasites 704: 700: 696: 691: 687: 683: 682:murine typhus 679: 678:intracellular 676: 675:gram-negative 672: 660: 655: 646: 644: 640: 639:murine typhus 636: 635:Murine typhus 632: 628: 627:murine typhus 624: 620: 616: 612: 611: 606: 605: 604:Rattus rattus 600: 596: 595:murine typhus 592: 578: 576: 572: 568: 564: 560: 551: 549: 544: 542: 541:murine typhus 538: 534: 532: 527: 522: 514: 512: 508: 504: 500: 496: 491: 489: 485: 481: 477: 473: 469: 468:ectoparasites 465: 464: 459: 457: 452: 451: 450:Rattus rattus 446: 437: 435: 431: 422: 420: 416: 412: 408: 404: 400: 396: 392: 388: 387:gram negative 384: 380: 371: 369: 368:R. prowazekii 365: 361: 357: 356:R. prowazekii 353: 349: 345: 342: 338: 337:R. prowazekii 334: 330: 326: 322: 318: 317:R. prowazekii 314: 305: 288: 286: 280: 277: 276:Binomial name 273: 269: 268: 267:R. typhi 263: 260: 259: 256: 255: 251: 248: 247:Species group 245: 244: 241: 240: 236: 233: 232: 229: 226: 223: 222: 219: 218:Rickettsiales 216: 213: 212: 209: 206: 203: 202: 199: 196: 193: 192: 189: 186: 183: 182: 177: 172: 168: 165: 161: 158: 156: 154: 151: 147: 143: 139: 135: 131: 127: 123: 118: 117:and tissues. 116: 112: 108: 104: 103:microorganism 100: 96: 92: 90: 86: 82: 81: 80:murine typhus 76: 72: 68: 67:murine typhus 64: 60: 56: 52: 51:R. prowazekii 48: 44: 43: 42:R. prowazekii 38: 34: 31: 30:gram negative 27: 23: 22: 3267: 3205: 3201: 3145: 3141: 3131: 3093:(1): 41–51. 3090: 3086: 3076: 3044:(1): 92–97. 3041: 3037: 2991: 2987: 2977: 2966:. Retrieved 2962: 2953: 2912: 2908: 2898: 2855: 2851: 2841: 2831:, retrieved 2817: 2771: 2767: 2757: 2732: 2728: 2718: 2688:(1): 17–23. 2685: 2681: 2633: 2629: 2579: 2575: 2527: 2523: 2513: 2481:(3): 412–7. 2478: 2474: 2408: 2404: 2394: 2351: 2347: 2287: 2283: 2253: 2249: 2193: 2189: 2179: 2128: 2124: 2114: 2087: 2084:"Rickettsia" 2027: 2023: 2013: 1980: 1976: 1876: 1872: 1862: 1829: 1825: 1765: 1761: 1703: 1699: 1633: 1629: 1588:, retrieved 1574: 1492: 1488: 1430: 1426: 1368: 1364: 1308: 1304: 1294: 1253: 1249: 1197: 1193: 1135: 1131: 1100:Bibliography 1083: 1075: 1071: 1063: 1059: 1055: 1051: 1047: 1042: 1037: 1029: 1018: 1010: 1006: 1004: 999: 983: 979: 971: 965: 940: 934: 916: 908: 906: 892: 889:asymptomatic 880: 869:conjunctivae 857: 852: 846: 826: 822: 818: 812: 806: 800: 766: 764: 759: 755: 739: 735: 730: 726: 722:pest control 719: 714: 702: 689: 673:is a small, 670: 669: 658: 649:Epidemiology 619:disseminated 608: 602: 590: 589: 571:inflammation 562: 558: 557: 554:Pathogenesis 547: 545: 536: 529: 525: 523: 520: 506: 494: 492: 487: 483: 479: 471: 461: 454: 448: 444: 443: 433: 429: 428: 410: 402: 390: 381:is a small, 378: 377: 367: 363: 359: 355: 351: 347: 336: 316: 310: 284: 282: 266: 265: 254:Typhus group 253: 246: 238: 163: 157: 149: 145: 129: 119: 110: 94: 93: 88: 84: 78: 74: 58: 50: 46: 41: 36: 24:is a small, 20: 19: 18: 3292:Wikispecies 949:endothelial 941:Rickettsial 793:vasculature 789:endothelial 686:rickettsial 643:Doxycycline 567:endothelium 511:susceptible 389:bacterium. 130:Rickettsial 3250:References 2968:2020-09-23 2833:2020-09-10 1590:2020-10-06 1200:: 967852. 1080:base pairs 1007:Rickettsia 972:Rickettsia 835:eukaryotic 819:X. cheopis 787:, and the 774:epithelial 699:reservoirs 561:including 239:Rickettsia 146:Rickettsia 122:laboratory 37:Rickettsia 3222:1098-6588 3162:1660-2412 3107:0300-8584 3060:0928-8244 3008:0098-7484 2929:1573-7284 2872:1080-6040 2788:0002-9173 2741:0893-3952 2702:0890-8508 2652:1058-4838 2596:1873-2542 2544:0002-9637 2435:1932-6203 2368:0928-4249 2354:(2): 12. 2304:1080-6040 2210:1080-6040 2155:1749-6632 2044:1080-6040 1997:0066-4170 1895:1072-4710 1782:0095-1137 1720:0095-1137 1652:1072-4710 1509:1746-0913 1447:0095-1137 1385:0095-1137 1325:1080-6040 1270:0269-283X 1152:0021-9193 1078:by 12000 1019:R. typhi. 996:cytoplasm 968:diagnosis 937:diagnosis 899:regions. 885:commensal 860:arthropod 797:mammalian 425:Virulence 341:arthropod 321:virulence 261:Species: 126:diagnosis 33:bacterium 3443:Category 3364:10930648 3283:Q3010410 3277:Wikidata 3240:10882661 3180:23595041 3115:27696011 3068:22098502 2890:32818424 2710:16893625 2660:18260783 2604:23290118 2505:20202415 2453:23940746 2405:PLOS ONE 2386:19036234 2322:18826827 2171:84913142 2163:12860687 2062:29912688 1903:11231808 1854:74156662 1800:29769278 1660:11231808 1527:19327117 1343:29912688 1286:24176171 1226:21912565 1170:15317790 1093:antibody 1072:R. typhi 1060:R. typhi 1056:R. typhi 1048:R. typhi 1044:Symptoms 1030:R. typhi 1011:R. typhi 1000:R. typhi 984:R. typhi 980:R. tyhpi 976:serology 920:carriers 917:R. typhi 913:zoonotic 909:R. typhi 893:R. typhi 881:R. typhi 827:R. typhi 767:R. typhi 760:R. typhi 740:R. typhi 731:R. typhi 727:R. typhi 715:R. typhi 711:pathogen 703:R. typhi 690:R. typhi 659:R. typhi 623:symptoms 563:R. typhi 548:R. typhi 537:R. typhi 526:R. typhi 507:R. typhi 495:R. typhi 488:R. typhi 480:R. typhi 472:R. typhi 445:R. typhi 434:R. typhi 411:R. typhi 407:cultured 395:zoonotic 391:R. typhi 364:R. typhi 360:R. typhi 352:R. typhi 348:R. typhi 315:typhus ( 313:epidemic 224:Family: 194:Phylum: 188:Bacteria 184:Domain: 134:serology 107:pathogen 95:R. typhi 89:R. typhi 85:R. typhi 75:R. typhi 59:R. typhi 47:R. typhi 3351:3221489 3171:4714558 3123:1682815 3016:1880866 2945:1675131 2937:1884775 2881:7454102 2796:2499181 2749:9346184 2552:8447530 2496:3322020 2444:3735526 2413:Bibcode 2377:2695025 2313:2609893 2228:9284376 2219:2627639 2133:Bibcode 2053:6038764 2005:2105686 1846:4578110 1791:6062794 1738:8027348 1518:2775711 1465:9350721 1403:8027348 1334:6038764 1278:2519693 1217:3170826 1089:enzymes 1068:genomes 1021:  963:tests. 897:endemic 839:vectors 833:within 825:enable 615:endemic 599:febrile 581:Disease 513:hosts. 499:fitness 403:. typhi 383:aerobic 234:Genus: 214:Order: 204:Class: 155:level. 153:species 71:endemic 26:aerobic 3426:818988 3410:NZOR: 3377:965659 3338:RICKTY 3325:976602 3238:  3228:  3220:  3178:  3168:  3160:  3121:  3113:  3105:  3066:  3058:  3014:  3006:  2943:  2935:  2927:  2888:  2878:  2870:  2824:  2794:  2786:  2747:  2739:  2708:  2700:  2658:  2650:  2602:  2594:  2550:  2542:  2503:  2493:  2451:  2441:  2433:  2384:  2374:  2366:  2320:  2310:  2302:  2262:705902 2260:  2226:  2216:  2208:  2169:  2161:  2153:  2102:  2060:  2050:  2042:  2003:  1995:  1901:  1893:  1852:  1844:  1798:  1788:  1780:  1736:  1729:267160 1726:  1718:  1658:  1650:  1581:  1525:  1515:  1507:  1463:  1456:230049 1453:  1445:  1401:  1394:267160 1391:  1383:  1341:  1331:  1323:  1284:  1276:  1268:  1224:  1214:  1168:  1161:516817 1158:  1150:  992:embryo 988:axenic 823:Rattus 778:midgut 503:mutual 476:vector 415:motile 344:vector 333:typhus 3359:IRMNG 3312:4T2DW 3231:95923 3119:S2CID 2941:S2CID 2167:S2CID 1850:S2CID 1842:JSTOR 1768:(8). 1282:S2CID 953:ELISA 911:is a 785:hosts 695:hosts 393:is a 325:louse 115:feces 61:is a 3398:NCBI 3385:LPSN 3372:ITIS 3346:GBIF 3333:EPPO 3236:PMID 3218:ISSN 3176:PMID 3158:ISSN 3111:PMID 3103:ISSN 3064:PMID 3056:ISSN 3012:PMID 3004:ISSN 2933:PMID 2925:ISSN 2886:PMID 2868:ISSN 2822:ISBN 2792:PMID 2784:ISSN 2745:PMID 2737:ISSN 2706:PMID 2698:ISSN 2656:PMID 2648:ISSN 2600:PMID 2592:ISSN 2548:PMID 2540:ISSN 2501:PMID 2449:PMID 2431:ISSN 2382:PMID 2364:ISSN 2318:PMID 2300:ISSN 2258:PMID 2224:PMID 2206:ISSN 2159:PMID 2151:ISSN 2100:ISBN 2058:PMID 2040:ISSN 2001:PMID 1993:ISSN 1899:PMID 1891:ISSN 1796:PMID 1778:ISSN 1734:PMID 1716:ISSN 1656:PMID 1648:ISSN 1579:ISBN 1523:PMID 1505:ISSN 1461:PMID 1443:ISSN 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Index

aerobic
gram negative
bacterium
R. prowazekii
biocontainment
flea
murine typhus
endemic
murine typhus
pest
microorganism
pathogen
feces
laboratory
diagnosis
serology
PCR
microimmunofluorescence
species
Scientific classification
Edit this classification
Bacteria
Pseudomonadota
Alphaproteobacteria
Rickettsiales
Rickettsiaceae
Rickettsia
Typhus group
Binomial name

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