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Typhus By Tim Waer. What is Typhus?. Chills Cough High Fever Joint Pain Low BP Severe Headache/Muscle Pain Stupor Delirium Rash that begins on chest and spreads to limbs (but not palms of hands or soles of feet). What causes Typhus?. Rickettsia prowazekii : epidemic typhus
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What is Typhus? • Chills • Cough • High Fever • Joint Pain • Low BP • Severe Headache/Muscle Pain • Stupor • Delirium • Rash that begins on chest and spreads to limbs (but not palms of hands or soles of feet)
What causesTyphus? • Rickettsiaprowazekii: epidemic typhus • Rickettsiatyphi : endemic (murine) typhus • Gram (-), non-motile, obligate intracellular parasite, aerobic bacteria
Fun Fact: Rickettsiaprowazekii and the origin of mitochondria • Andersson et al (1998) • Similar functional profile of genome to mitochondria • Similar ATP production mechs • Possible insight into endosymbiosis
History of Typhus • Commonly found in prisons/crowded areas • Lends to its common name of “Jail Fever”
How Does Typhus Spread? • Two modes of transmission: • Epidemic typhus – Lice to humans • Endemic typhus – Fleas to humans
Rickettsia-Host Cell Interaction • Entry: • Interaction with Outer Membrane Protiens • Phagocytosis
Escape from Phagosome and Spread to Other Cells • Lysing of Phagosomal Membrane • Divide by Binary Fission • Spread due to burst of cell • Lack Actin-Polymerization machinery
Diagnosis • Should be made based on clinical findings • Complete blood count to check for anemia/low platelets • Test for increased levels of typhus antibodies
Treatment • Easily treated with a mix of broad-spectrum antibiotics • Most common include doxycycline, tetracycline and chloramphenicol. • Originally, vaccine dangerous to produce, now just not worth it
Prognosis • Infrequent relapses • Without treatment, death resulted in 10-60% of cases for epidemic typhus • <2% for endemic typhus • Prompt treatment leads to prompt recovery
Prevention • Good Hygiene • Avoid areas where one may encounter rats/fleas and lice. • Bathe regularly • Use insecticides • Wash clothes regularly
References • Anderson et al. “The genome sequence of Rickettsiaprowazekii and the origin of mitochondria”. Nature 396. (1998) pg 133-140. • Immunopaedia.org, 2010. Web. 4 April 2012. http://www.immunopaedia.org.za/index.php?id=257 • Mayer, Gene. Microbiology and Immunology. Columbia, SC: The Board of Trustees of the University of South Carolina, 2010. • Parola, Philippe and Didier Raoult. Rickketsial Diseases. Informa Healthcare, 2007. • “Rickketsia”. Wikipedia, The Free Encyclopedia. Wikimedia Foundation Inc. 21 Feb 2012. Web. 4 April 2012. • “Typhus”. Wikipedia, The Free Encyclopedia. Wikimedia Foundation, Inc. 30 March 2012. Web. 4 April 2012.