II. Epidemiology

  1. Typhus is rare worldwide

III. Pathophysiology

  1. Vector-borne illnesses caused by Rickettsial or Oriential infection

IV. Types

  1. Typhus or Epidemic Typhus
    1. Louse-borne transmission of Rickettsia prowazekii
    2. Typically occurs during war or over-crowded conditions, transmitted by Body Lice
    3. May recur years after initial infection (Brill-Zinsser Disease)
  2. Murine Typhus or Endemic Typhus
    1. Flea-borne transmission from rats (or mice, cats)
    2. Vectors include rat flea (Xenopsylla) and squirrel flea (Orchospea)
  3. Scrub Typhus
    1. Mite-borne transmission of Orienta tsutsugamushi
    2. Vector: Larval mite Chigger (Leptotrombidium)
    3. Seen in Southeast Asia

V. Findings

  1. Typhus or Epidemic Typhus
    1. Presents with abrupt onset fever and intractable Headache
    2. Nonproductive cough may also be present
    3. Rash is a late sign, seen in two-thirds of patients, starting on trunk and spreading to extremities
  2. Murine Typhus or Endemic Typhus
    1. Presents with fever, Headache and myalgias
    2. Maculopapular Rash in half of patients
    3. Thrombocytopenia in 48% of patients
  3. Scrub Typhus
    1. Presents with fever, Headache, malaise and myalgias
    2. Tinnitus and Hearing Loss (or Deafness) may occur
    3. Regional Lymphadenopathy may be present
    4. Macular rash in 50% of patients (may be associated with eschar)
    5. Thrombocytopenia in most patients

VI. Management

  1. Typhus or Epidemic Typhus
    1. Eliminate vector (e.g. kill lice)
    2. Doxycycline 100 mg twice daily for 5 days (or 200 mg once) OR
    3. Chloramphenicol 500 mg oral or IV four times daily for 5 days
  2. Murine Typhus or Endemic Typhus
    1. Spontaneously resolves without treatment in 14 days
    2. Doxycycline 100 mg twice daily for 7 days OR
    3. Chloramphenicol 500 mg oral or IV four times daily for 7 days
  3. Scrub Typhus
    1. Doxycycline 100 mg twice daily for 7 days (if resistance suspected, add Rifampin) OR
    2. Chloramphenicol 500 mg oral or IV four times daily for 7 days OR
    3. Azithromycin 500 mg oral or IV for 1 dose (if resistance suspected, extend for 3 days)

VIII. References

  1. Sexton in Calderwood (2016) Epidemic Typhus, UpToDate, IOS app accessed 4/14/2016
  2. (2016) Sanford Guide to Antibiotics, IOS app accessed 4/14/2016
  3. Huntington (2016) Am Fam Physician 94(7): 551-7 [PubMed]

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Related Studies

Ontology: Brill-Zinsser Disease (C0006181)

Concepts Disease or Syndrome (T047)
MSH D014438
ICD9 081.1
ICD10 A75.1
SnomedCT 47761007
English Brill Disease, Brill Zinsser Disease, Brill's Disease, Brills Disease, Disease, Brill's, Disease, Brill, Disease, Brill-Zinsser, Recrudescent typhus [Brill's disease], BRILLS DIS, BRILL DIS, BRILL ZINSSER DIS, Brill Zinsser disease, Brill Zinsser disease (diagnosis), Recrudescent typhus fever, Brill's disease, Brill-Zinsser disease, Recrudescent typhus, Recrudescent typhus due to Rickettsia prowazekii, Brill-Zinsser disease (disorder), Rickettsia; prowazekii, typhus, recrudescent [Brill-Zinsser], Zinsser, Brill, prowazekii; Rickettsia prowazekii, typhus, recrudescent [Brill-Zinsser], recrudescent [Brill-Zinsser]; typhus, due to Rickettsia prowazekii, recrudescent [Brill-Zinsser]; typhus, typhus; Rickettsia prowazekii, recrudescent [Brill-Zinsser], typhus; recrudescent [Brill-Zinsser], due to Rickettsia prowazekii, typhus; recrudescent [Brill-Zinsser], Brill-Zinsser Disease
Italian Tifo ricorrente, Malattia di Brill Zinsser, Malattia di Brill, Malattia di Brill-Zinsser
Dutch ziekte van Brill-Zinsser, ziekte van Brill, Rickettsia; prowazekii, vlektyfus, recidiverend, prowazekii; Rickettsia prowazekii, vlektyfus, recidiverend, recidiverend; vlektyfus, door Rickettsia prowazekii, recidiverend; vlektyfus, vlektyfus; Rickettsia prowazekii, recidiverend, vlektyfus; recidiverend, door Rickettsia prowazekii, vlektyfus; recidiverend, Recidiverende vlektyfus [Ziekte van Brill], heropgeflakkerde tyfus, Brill-Zinsser, ziekte van, Brill-ziekte
German Brill Zinsser-Krankheit, Brill-Zinsser-Krankheit, Fleckfieber-Spaetrezidiv [Brill-Krankheit], Fleckfieber-Spaetrezidiv, Brill-Krankheit
Spanish Enfermedad de Brill Zinsser, Enfermedad de Brill-Zinsser, enfermedad de Brill - Zinsser (trastorno), enfermedad de Brill - Zinsser, enfermedad de Brill, fiebre tifo recrudescente, fiebre tifus recrudescente, tifo recrudescente por Rickettsia prowazekii, tifus recrudescente por Rickettsia prowazekii, tifus recrudescente, Tifus recrudescente, Enfermedad de Brill
Japanese ブリル・ジンサー病, 再発性発疹チフス, ブリル病, ブリルジンサービョウ, ブリルビョウ, サイハツセイホッシンチフス, サイハツセイハッシンチフス
Czech Brillova-Zinsserova nemoc, Brillova nemoc, Brill- Zinsserova nemoc, Návratný tyfus
Portuguese Doença de Brill-Zinsser, Tifo recrudescente, Doença de Brill
French Maladie de Brill-Zinsser, Typhus récurrent, Maladie de Brill
Korean 재발성 발진티푸스[브릴병]
Hungarian visszatrő typhus, Brill-Zinsser betegség, Brill-betegség
Norwegian Brills sykdom, Brill-Zinssers sykdom

Ontology: Scrub Typhus (C0036472)

Definition (MSH) An acute infectious disease caused by ORIENTIA TSUTSUGAMUSHI. It is limited to eastern and southeastern Asia, India, northern Australia, and the adjacent islands. Characteristics include the formation of a primary cutaneous lesion at the site of the bite of an infected mite, fever lasting about two weeks, and a maculopapular rash.
Concepts Disease or Syndrome (T047)
MSH D012612
ICD9 081.2
ICD10 A75.3
SnomedCT 73911003, 186768005, 240620004, 240621000, 240622007, 271425001
English Diseases, Tsutsugamushi, Fevers, Tsutsugamushi, Tsutsugamushi Disease, Tsutsugamushi Diseases, Tsutsugamushi Fever, Tsutsugamushi Fevers, Typhus, Scrub, Disease, Tsutsugamushi, Fever, Tsutsugamushi, Tsutsugamushi fever, Typhus fever due to Rickettsia tsutsugamushi, TSUTSUGAMUSHI DIS, tsutsugamushi disease, scrub typhus, scrub typhus (diagnosis), Rickettsia tsutsugamushi infection, Scrub (mite-borne) typhus, Scrub Typhus [Disease/Finding], tsutsugamushi, scrubs typhus, Scrub mite-borne typhus (& various types), Japanese river fever (disorder), Kedani fever (disorder), Tsutsugamushi disease (disorder), Scrub mite-borne typhus (& various types) (disorder), Mite-borne typhus, Scrub typhus, Mite-borne typhus due to Rickettsia tsutsugamushi, Scrub mite-borne typhus, Scrub typhus (disorder), Japanese river; fever, Japanese; typhus, Rickettsia; tsutsugamushi, typhus, Sumatran mite; fever, Sumatran mite; typhus, fever; Japanese river, fever; Sumatran mite, fever; kedani, fever; tsutsugamushi, kedani; fever, kedani; typhus, mite-borne; typhus, rickettsiosis; Rickettsia tsutsugamushi, scrub; typhus, tropical; typhus, tsutsugamushi; Rickettsia tsutsugamushi, typhus, tsutsugamushi; fever, typhus; Japanese, typhus; Rickettsia tsutsugamushi, typhus; Sumatran mite, typhus; kedani, typhus; mite-borne, typhus; scrub, typhus; tropical, Scrub typhus (disorder) [Ambiguous], Scrub Typhus, Tsutsugamushi, Kedani fever, Tsutsugamushi disease, Japanese river fever
Italian Febbre fluviale del Giappone, Febbre di Tsutsugamushi, Infezione da Rickettsia tsutsugamushi, Febbre tsutsugamushi, Malattia tsutsugamushi, Tifo delle boscaglie
Dutch Tsutsugamushi-koorts, Rickettsia tsutsugamushi-infectie, Japans; vlektyfus, Japanse rivier; koorts, Rickettsia; tsutsugamushi, vlektyfus, Sumatra-mijt; koorts, Sumatra-mijt; vlektyfus, kedani; koorts, kedani; vlektyfus, koorts; Japanse rivier, koorts; Sumatra-mijt, koorts; kedani, koorts; tsutsugamushi, mijt; vlektyfus, rickettsiose; Rickettsia tsutsugamushi, scrub; vlektyfus, tropisch; vlektyfus, tsutsugamushi; Rickettsia tsutsugamushi, vlektyfus, tsutsugamushi; koorts, vlektyfus; Japans, vlektyfus; Rickettsia tsutsugamushi, vlektyfus; Sumatra-mijt, vlektyfus; door mijten overgebracht, vlektyfus; kedani, vlektyfus; scrub, vlektyfus; tropisch, Vlektyfus door Rickettsia tsutsugamushi, scrubtyfus, Scrub typhus, Tsoetsoegamoesji, Typhus, scrub
French Infection à Rickettsia tsutsugamushi, Tsutsugamuschi, Typhus des broussailles, Fièvre de Kedani, Fièvre fluviale du Japon
German Tsutsugamushi-Fieber, Rickettsia tsutsugamushi-Infektion, Fleckfieber durch Rickettsia tsutsugamushi [Rickettsia orientalis], Milbenfleckfieber, Buschfieber, Buschfleckfieber, Tsutsugamushi-Krankheit, Typhus, Scrub
Portuguese Febre de Tsutsugamushi, Infecção por Rickettsia tsutsugamushi, Tifo Rural, Tifo a Rickettsia tsutsugamushi, Doença de Tsutsugamushi, Tifo por Ácaros
Spanish Infección por Rickettsia tsutsugamushi, Fiebre tsutsugamushi, enfermedad de Tsutsugamushi (trastorno), fiebre kedani, tifus de los matorrales, fiebre de Kedani (trastorno), enfermedad tsutsugamushi, tifo transmitido por ácaros causado por Rickettsia tsutsugamushi, tifo de los matorrales (trastorno), tifo de los matorrales, fiebre fluvial japonesa (trastorno), tifus transmitido por ácaros, fiebre fluvial japonesa, tifo transmitido por ácaros, Tifus Rural, Tifus de los Matorrales, fiebre fluvial del Japón (trastorno), fiebre fluvial del Japón, fiebre tsutsugamushi, tifo de los matorrales (concepto no activo), tifus transmitido por acáridos, tifus transmitido por garrapatas, Tifus de los matorrales, enfermedad de Tsutsugamushi, fiebre de Kedani, tifus por Rickettsia tsutsugamushi transmitido por ácaros, Enfermedad de Tsutsugamushi, Tifus por Ácaros
Japanese ツツガ虫病, ツツガ虫病リケッチア感染, ツツガムシビョウ, ツツガムシビョウリケッチアカンセン, ツツガムシ病, ケダニ熱, つつが虫病, 恙虫病
Swedish Fästingöverförd rickettsios
Czech tsutsugamushi, rickettsióza cucugamuši, Infekce Rickettsia tsutsugamushi, Horečka tsutsugamushi
Finnish Pensaspilkkukuume
Korean 리켓치아 쯔쯔가무시에 의한 발진티푸스
Polish Dur plamisty zaroślowy, Choroba Tsutsugamushi, Dur zaroślowy
Hungarian Rickettsia tsutsugamushi fertőzés, Tsutsugamushi láz, bozót typhus
Norwegian Tsutsugamushi, Busktyfus, Tsutsugamushifeber

Ontology: TYPHUS (C0041471)

Definition (CSP) group of acute, arthropod borne infections caused by rickettsiae; includes epidemic (classic or louse-borne) typhus, its recrudescent form, and murine (endemic or flea-borne) typhus; all are characterized by severe headache, chills, high fever, stupor, and rash.
Concepts Disease or Syndrome (T047)
MSH D014438
ICD9 081.9
ICD10 A75.9 , A75
SnomedCT 154375001, 187383009, 83838002, 266205000
LNC LP28595-4
English TYPHUS, Typhus fever, unspecified, Typhus, unspecified, [X]Typhus fever, unspecified, typhus (diagnosis), typhus, Typhus infections, Typhus NOS, Typhus fever, Typhus (fever) NOS, fever typhus, typhus fever, [X]Typhus fever, unspecified (disorder), Typhus (disorder), Typhus, NOS, Typhus, Typhus fever NOS
German Typhus, Typhus, unspezifisch, Fleckfieber NNB, Flecktyphus, Fleckfieber, nicht naeher bezeichnet, Fleckfieber, Typhus-Infektionen
Italian Infezioni tifose, Tifo NAS, Tifo, non specificato, Tifo
Dutch tyfus, niet-gespecificeerd, tyfus NAO, Vlektyfus, niet gespecificeerd, tyfusinfecties, tyfus, Vlektyfus, Tyfus
French Typhus, non précisé, Typhus SAI, Typhus, Infections à Typhus
Portuguese Tifo NE, Tifo, Infecções tíficas
Spanish Tifus no especificado, Tifus NEOM, Tifus, [X]tifus, no especificado (trastorno), [X]tifus, no especificado, tifus, tifus (trastorno), tifo, [X]fiebre tifoidea, no especificada (trastorno), [X]fiebre tifoidea, no especificada, tifo (trastorno), Infecciones de tifus
Japanese チフス感染, チフス、詳細不明, チフス, チフスNOS, チフス, チフスNOS, チフスショウサイフメイ, チフスカンセン
Czech tyfus, Tyfus, blíže neurčený, Tyfus NOS, Ricketsiové horečky, Tyfus
Korean 상세불명의 발진티푸스, 발진티푸스
Hungarian Typhus k.m.n., Typhus, nem meghatározott, Typhus fertőzések, Typhus
Norwegian Tyfus

Ontology: Endemic Flea-Borne Typhus (C0041472)

Definition (MSH) An infectious disease clinically similar to epidemic louse-borne typhus (TYPHUS, EPIDEMIC LOUSE-BORNE), but caused by RICKETTSIA TYPHI, which is transmitted from rat to man by the rat flea, XENOPSYLLA CHEOPIS.
Definition (NCI) A bacterial infection caused by Rickettsia typhi or Rickettsia felis. It is transmitted to humans from infected rat fleas. Symptoms include fever, headache, joint and muscle pain, and weakness.
Concepts Disease or Syndrome (T047)
MSH D014437
ICD9 081.0
ICD10 A75.2
SnomedCT 414263007, 25668000
English Flea-Borne Typhus, Endemic, Typhus, Endemic Flea Borne, Typhus, Endemic Flea-Borne, Typhus, Murine, Murine (endemic) typhus, Flea typhus, Typhus fever due to Rickettsia typhi, murine typhus (diagnosis), murine typhus, murine endemic flea typhus, Rickettsia typhi infection, Endemic Typhus Fever, Typhus, Endemic Flea-Borne [Disease/Finding], Typhus, Endemic, Murine Typhus, Endemic Typhus, endemic murine typhus, rickettsia typhi infection, endemic typhus fever, endemic typhus, Flea typhus (disorder), Typhus, Endemic flea-borne, Endemic typhus, Flea-borne typhus, Murine typhus, Typhus due to Rickettsia typhi, Murine endemic flea typhus, Shop typhus, Urban typhus, Murine typhus (disorder), endemic; typhus, flea-borne; tabardillo, flea-borne; typhus, murine; typhus, rat; typhus, rickettsiosis; Rickettsia typhi, shop; typhus, shop, tabardillo; flea-borne, typhi; Rickettsia typhi, typhus, typhus; endemic, typhus; flea-borne, typhus; murine, typhus; rat, typhus; shop, Endemic Flea-Borne Typhus, Flea-borne Typhus fever, Flea-borne Typhus, Endemic Typhus fever, Endemic murine typhus
Dutch Rickettsia typhi-infectie, rattentyfus (endemisch), endemisch; vlektyfus, murien; vlektyfus, rattenvlo; vlektyfus, rickettsiose; Rickettsia typhi, shop; vlektyfus, tabardillo; door vlooien overgebracht, typhi; Rickettsia typhi, vlektyfus, vlektyfus; door vlooien overgebracht, vlektyfus; endemisch, vlektyfus; murien, vlektyfus; rattenvlo, vlektyfus; shop, vlooien; tabardillo, vlooien; vlektyfus, Vlektyfus door Rickettsia typhi, rattentyfus, Flea borne typhus, Murine vlektyfus, Tyfus, endemische vlek-, Vlektyfus, endemische
French Typhus murin (endémique), Infection à Rickettsia typhi, Typhus mexicain, Typhus endémique bénin, Tabardillo, Typhus à Rickettsia typhi, Typhus à puces, Typhus murin, Typhus endémique à puces, Typhus tropical urbain
German Rickettsia typhi-Infektion, muriner Typhus, Fleckfieber durch Rickettsia typhi [Rickettsia mooseri], murines Fleckfieber, Typhus, muriner, Typhus, endemischer flohübertragener
Italian Infezione da Rickettsia typhi, Tifo murino (endemico), Tifo murino, Tifo endemico murino
Portuguese Infecção por Rickettsia typhi, Tifo murino (endémico), Tifo murino, Tifo Endêmico Transmitido por Pulgas, Tifo Murino
Spanish Tifus (endémico) murino, Infección por Rickettsia typhi, tifo transportado por pulgas, tifus transmitido por pulgas (trastorno), tifus transmitido por pulgas, tifo endémico, tifo murino (trastorno), tifo murino, tifo por Rickettsia typhi, tifus endémico, tifus murino, tifus por Rickettsia typhi, Tifus murino, Tifus Endémico Transmitido por Pulgas, Tifus Murino
Japanese 発疹熱リケッチア感染, ホッシンネツリケッチアカンセン, ホッシンネツ, ハッシンネツリケッチアカンセン, ハッシンネツ, 地域性のみ媒介発疹チフス, 発疹熱, ネズミ発疹チフス, 地域性ノミ媒介発疹チフス, 地域性蚤媒介発疹チフス, チフス-地域性ノミ媒介発疹, ノミ媒介チフス, 熱-発疹, 発疹チフス-鼠, 鼠発疹チフス
Swedish Tyfus, endemisk loppburen
Czech tyfus endemický přenášený blechami, Infekce Rickettsia typhi, Myší tyfus, Myší (endemický) tyfus
Finnish Endeeminen pilkkukuume
Korean 리켓치아 타이피에 의한 발진티푸스
Polish Dur plamisty endemiczny
Hungarian Rickettsia typhi fertőzés, murin typhus, Murin (endemiás) typhus
Norwegian Musetyfus, Endemisk flekktyfus, Flekktyfus som skyldes Rickettsia typhi

Ontology: Typhus, Epidemic Louse-Borne (C0041473)

Definition (NCI) A gram-negative bacterial infection caused by Rickettsia prowazekii. It is spread by lice infected with the bacteria. Signs and symptoms include sudden headache, generalized muscle pain, malaise, and macular skin lesions. The infection may affect the central nervous system causing encephalitis.
Definition (MSH) The classic form of typhus, caused by RICKETTSIA PROWAZEKII, which is transmitted from man to man by the louse Pediculus humanus corporis. This disease is characterized by the sudden onset of intense headache, malaise, and generalized myalgia followed by the formation of a macular skin eruption and vascular and neurologic disturbances.
Concepts Disease or Syndrome (T047)
MSH D014438
ICD9 080
ICD10 A75.0
SnomedCT 39111003
LNC LA10486-1
English Louse-Borne Typhus, Epidemic, Typhus, Epidemic Louse Borne, Typhus, Epidemic Louse-Borne, Louse-borne (epidemic) typhus, Epidemic louse-borne typhus fever due to Rickettsia prowazekii, louse-borne typhus (diagnosis), epidemic (louse borne) typhus fever, epidemic typhus, louse-borne typhus, Epidemic louse-borne typhus, Epidemic Louse-Borne Typhus, Epidemic Typhus Fever, Classical typhus (fever), Epidemic (louse-borne) typhus, Typhus, Epidemic Louse-Borne [Disease/Finding], Epidemic Typhus, Fevers, Jail, Jail Fevers, Typhus, Epidemic, Fever, Jail, Jail Fever, jail fever, exanthematic typhus, fleckfieber, louse-borne typhus fever, Epidemic louse-borne typhus fever d/t Rickettsia prowazekii, Rickettsia prowazekii infection, Epidemic typhus, Tabardillo, Classical typhus, Louse-borne typhus, Typhus due to Rickettsia prowazekii, European typhus, Exanthematic typhus, Fleckfieber, Louse-borne epidemic typhus, Tifus exanthematico, Louse-borne typhus fever, Louse-borne typhus (disorder), Hildenbrand, classical; typhus, Rickettsia; prowazekii, typhus, epidemic; typhus, exanthematic; typhus, lice; tabardillo, lice; typhus, prowazekii; Rickettsia prowazekii, typhus, rickettsiosis; Rickettsia prowazekii, tabardillo; louse-borne, tabardillo, typhus; Rickettsia prowazekii, typhus; classical, typhus; epidemic, typhus; exanthematic, typhus; louse-borne, Exanthematic typhus, NOS, Epidemic Louse-borne typhus, Louse-borne Typhus fever, Louse-borne Typhus, Classical Typhus fever, Classical Typhus, Epidemic Typhus fever, Exanthematic Typhus fever NOS, Exanthematic Typhus NOS
Italian Tifo epidemico, Tipo petecchiale epidemico, Infezione da Rickettsia prowazekii, Tifo [epidemico] da pidocchi, Tifo esantematico, Tifo endemico da pidocchio
Dutch epidemische door luizen overgebrachte tyfus, exanthemateuze tyfus, Rickettsia prowazekii-infectie, door luizen overgebrachte (epidemische) tyfus, Rickettsia; prowazekii, vlektyfus, epidemisch; vlektyfus, exanthematisch; vlektyfus, klassiek; vlektyfus, luizen; tabardillo, luizen; vlektyfus, prowazekii; Rickettsia prowazekii, vlektyfus, rickettsiose; Rickettsia prowazekii, tabardillo; door luizen overgebracht, vlektyfus; Rickettsia prowazekii, vlektyfus; door luizen overgebracht, vlektyfus; epidemisch, vlektyfus; exanthematisch, vlektyfus; klassiek, Epidemische door luizen overgebrachte vlektyfus door Rickettsia prowazekii, epidemische tyfus, Epidemische vlektyfus, Louse borne typhus, Tyfus, epidemische vlek-
French Infection à Rickettsia prowazekii, Typhus exanthémateux, Typhus épidémique transmis par pou, Typhus transmis par pou (épidémique), Typhus historique, Typhus exanthématique, Typhus à poux, Typhus des camps, Typhus épidémique, Typhus épidémique à poux
German epidemischer, von Laeusen uebertragener Typhus, Rickettsia prowazekii-Infektion, von Laeusen uebertragener (epidemischer) Typhus, exanthematischer Typhus, Epidemisches Fleckfieber durch Rickettsia prowazeki, epidemisches Fleckfieber, Fleckfieber, klassisches, Klassisches Fleckfieber, Läusefleckfieber
Portuguese Tifo exantemático, Tifo epidémico transmitido por piolhos, Infecção por Rickettsia prowazekii, Tifo (epidémico) transmitido por piolhos, Tifo epidémico, Tifo Epidêmico Transmitido por Piolhos
Spanish Infección po Rickettsia prowazekii, Tifus (epidémico) transmitido por piojos, Tifus epidémico transmitido por piojos, Tifus exantemático, tifo clásico, tifo epidémico, tifo exantemático, tifo por Rickettsia prowazekii, tifo transmitido por piojos (trastorno), tifo transmitido por piojos, tifus clásico, tifus epidémico, tifus exantemático, tifus por Rickettsia prowazekii, tifus transportado por piojos, Tifus epidémico, Tifus Epidémico Transmitido por Piojos
Japanese シラミ媒介性(発疹)チフス, シラミ媒介性発疹チフス, 発疹チフスリケッチア感染, シラミバイカイセイホッシンチフス, シラミバイカイセイハッシンチフス, ホッシンチフスリケッチアカンセン, ホッシンチフス, ハッシンチフス, ハッシンチフスリケッチアカンセン, シラミ発疹チフス, ブリル・ツィンサー病, チフス-シラミ発疹, シラミ媒介チフス, ブリル-ツィンサー病, Brill-Zinsser病, 流行性シラミ媒介発疹チフス, チフス-流行性シラミ媒介発疹, 流行性しらみ媒介発疹チフス, チフス-発疹, Brill病, 発疹チフス
Swedish Tyfus, epidemisk lusburen
Czech tyfus epidemický přenášený vešmi, skvrnitý tyfus, Epidemická forma skvrnitého tyfu, Skvrnitý tyfus, Infekce Rickettsia prowazekii, Skvrnivka
Finnish Epideeminen pilkkukuume
Korean 리켓치아 프로와제끼에 의한 유행성 이 매개 발진티푸스
Polish Choroba Brilla, Dur plamisty epidemiczny
Hungarian Epidemiás tetű-által terjesztett typhus, typhus exanthematicus, Tetű-által terjesztett (epidemiás) typhus, Rickettsia prowazekii fertőzés, Exanthemás typhus
Norwegian Epidemisk flekktyfus overført ved lus, Klassisk flekktyfus