Typhus fever


typhus fever is an infectious disease caused by bacteria. These are transmitted to humans through clothing lice. In Germany, it is extremely rare. Typical are high fever that lasts for days, and rash. With timely treatment, typhus heals without consequences. Here you read all important information about typhus fever.

ICD codes for this disease: ICD codes are internationally valid medical diagnosis codes. They are found e.g. in medical reports or on incapacity certificates. A75A77ArtikelübersichtFleckfieber

  • description
  • symptoms
  • Causes and risk factors
  • Examinations and diagnosis
  • treatment
  • Disease course and prognosis

Spotted fever: description

Spotted fever (also called lice spotting fever) is an infectious disease caused by the bacteria Rickettsia prowazekii is caused. The germs are transmitted by bloodsucking lice.

Spotted fever is very rare in Germany today. Most recently, typhus epidemics occurred in Europe during the World Wars. At that time, people sometimes had to live under bad, hygienic conditions, for example in refugee areas. Nevertheless, the disease still occurs today in some parts of the world, for example in East Africa and in the Andean valleys of South America.

The typhus fever is not to be confused with typhus. Popular terms such as "lice typhus" or "typhus" are misleading. Typhoid fever is an infectious disease caused by salmonella. Misunderstandings can also occur in the Anglo-Saxon language area. There the typhus fever is called "typhus" or "thypus fever". Typhus is called in English "typhoid fever".

To the table of contents

Typhus fever: symptoms

The time between the infection and the onset of typhus (incubation period) is 10 to 14 days. The symptoms are sudden: the symptoms are mainly flu-like, ie severe headache, muscle and limb pain and a pronounced malaise or lethargy.

But typical for typhus fever are high fever and skin rash, The fever is very characteristic: it rises rapidly to 41 ° C in the first two days of illness, often accompanied by chills. It then lasts for at least ten days before the start of defilement. This takes about four to five days.

On the fourth to seventh day of illness, the typhus patients get a skin rash (rash). This begins at the trunk and spreads quickly to the extremities. The face as well as the hands and feet are left out. The exanthema is characterized by spots (macules), which show a colorful picture: some spots are crimson, others purple or pink. In addition, it comes to skin bleeding (petechiae).

Other symptoms seen in typhus include:

  • unrest
  • Trembling of the hands (tremor)
  • speech disorders
  • Disturbances of consciousness
  • violence

The typhus favors further infections by other bacteria, so-called secondary infections. These include:

  • Meningitis (meningitis)
  • Pneumonia
  • Myocarditis (myocarditis)

Therefore, in addition to the typhus symptoms, signs of these diseases may occur.