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  • Title: A cluster of pediatric endemic typhus cases in Orange County, California.
    Author: Green JS, Singh J, Cheung M, Adler FC, Ashouri N.
    Journal: Pediatr Infect Dis J; 2011 Feb; 30(2):163-5. PubMed ID: 21298850.
    Abstract:
    Murine typhus is typically a mild febrile illness caused by Rickettsia typhi, generally confined to Texas and Southern California. Clinicians should consider early treatment with doxycycline when presented with a child having protracted fever, rash, and headache.We present 5 pediatric cases and a literature review highlighting the changing epidemiology and diagnostic difficulty of typhus.
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