Article: Reemerging murine typhus, Japan.(Letters)

To the Editor: Murine typhus is an arthropod-borne infectious disease caused by Rickettsia typhi, which is distributed widely around the world (1-4). In Japan, tsutsugamushi disease occurs most frequently in persons infected with rickettsioses (5). Spotted fever caused by R. japonica also occurs in the southwestern part of Japan (6,7). In the 1940s and 1950% many murine typhus cases were reported in Japan. These diagnoses were made according to the clinical features of the illness and the reactivity of the serum samples to OX19 in Weil-Felix tests. A few cases were diagnosed on the basis of symptoms exhibited by animals infected with isolated rickettsiae and complement ...

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