Fleaborne typhus is on the rise in Los Angeles County, with reported cases nearly tripling over the past decade, from 31 in 2010 to 171 in 2022. The disease can be severe but is rarely fatal, and three deaths last year — the first in nearly 30 years in the county — led the US Centers and Disease Control Prevention to investigate. General signs and symptoms of fleaborne typhus include fever, headache, rash, liver inflammation and low blood platelets.
Diagnostic testing for fleaborne typhus can miss early cases because antibody levels often aren’t high enough to detect until the disease has progressed. To avoid delay in treatment, “health care providers should consider fleaborne typhus in any patient with fever, headache, and rash, particularly if the patient lives in or recently traveled to an area with endemic disease or had exposure to a reservoir animal ,” according to the CDC report. According to Dr.
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