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. 2017 Apr;23(4):645-648.
doi: 10.3201/eid2304.160958.

Typhus Group Rickettsiosis, Texas, USA, 2003-2013

Typhus Group Rickettsiosis, Texas, USA, 2003-2013

Kristy O Murray et al. Emerg Infect Dis. 2017 Apr.

Abstract

We characterized the epidemiology of typhus group rickettsiosis in Texas, USA. During 2003-2013, a total of 1,762 cases were reported to the state health department. The number of diagnosed cases and geographic expansion increased over time. Physician awareness is critical to diagnose and effectively treat rickettsial infections.

Keywords: Texas; Typhus group; United States; bacteria; fleas; murine typhus; rickettsia; rickettsiosis; vector-borne infections; zoonoses.

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Figures

Figure 1
Figure 1
Typhus group rickettsiosis, Texas, 2003–2013. A) Number of reported cases by year. B) Illness onset by epidemic week during the study period, by location; <28°N represents south Texas.
Figure 2
Figure 2
Geographic distribution of typhus group rickettsiosis, Texas, 2003–2013. A) County-level cumulative incidence per 100,000 population, 2003–2013, and spread into new geographic areas beginning in 2007. B) Incidence stratified by geographic location; <28°N represents south Texas.

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