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Murine typhus mimicking acute cholecystitis in a traveller

Vidyut P Suttor and Robert B Feller
Med J Aust 2006; 184 (9): 475.
Published online: 1 May 2006

To the Editor: Rickettsia typhi is an endemic cause of atypical pyrexial illness worldwide.1 Its non-specific presentation can lead to misdiagnoses, with overseas reports of unwarranted laparotomies in affected patients.2,3 We describe a patient with R. typhi infection presenting as cholecystitis, in whom a cholecystectomy was avoided by vigilance for R. typhi.

  • Vidyut P Suttor
  • Robert B Feller

  • St Vincent's Hospital, Sydney, NSW.

Correspondence: vidyutpinge@hotmail.com

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