{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:04:53Z","timestamp":1769011493902,"version":"3.49.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Lipschutz ulcers (LU) present as painful genital ulcers in nonsexually active females. Associated infections include Epstein Barr virus, Mycoplasma pneumoniae, Cytomegalovirus, and influenza. To our knowledge, this is the first report of LU occurring with murine typhus. Murine typhus is caused by Rickettsia typhi, a Gram-negative, obligate intracellular organism. Rat fleas (Xenopsylla cheopis) are the classic vector, although cat fleas (Ctenocephalides felis) found on cats, dogs, and opossums have been implicated in maintaining the life cycle of R. typhi in suburban areas. Murine typhus can have a nonspecific presentation making a strong index of suspicion crucial to its diagnosis. The most common presenting signs include fever, poor appetite, malaise, and headache. Laboratory abnormalities may include elevated C-reactive protein, elevated erythrocyte sedimentation rate, hypoalbuminemia, elevated transaminases, elevated neutrophil band count, and thrombocytopenia. The treatment of choice for R. typhi is doxycycline.<\/jats:p>","DOI":"10.1093\/jpids\/piaa138","type":"journal-article","created":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T20:11:24Z","timestamp":1605298284000},"page":"540-542","source":"Crossref","is-referenced-by-count":2,"title":["Murine Typhus Presenting With Mucosal Involvement"],"prefix":"10.1093","volume":"10","author":[{"given":"Renuka","family":"Rees","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Brooke Army Medical Center, Joint Base Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brooke Army Medical Center, Joint Base Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brooke Army Medical Center, Joint Base Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Spencer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brooke Army Medical Center, Joint Base Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deena","family":"Sutter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Brooke Army Medical Center, Joint Base Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"2021043017514151300_CIT0001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12969-016-0070-z","article-title":"Beh\u00e7et\u2019s disease in children, an overview","volume":"14","author":"Kon\u00e9-Paut","year":"2016","journal-title":"Pediatr Rheumatol"},{"key":"2021043017514151300_CIT0002","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.jaad.2014.06.026","article-title":"Mycoplasma pneumoniae-induced rash and mucositis as a syndrome distinct from Stevens\u2013Johnson syndrome and erythema multiforme: a systematic review","volume":"72","author":"Canavan","year":"2015","journal-title":"J Am Acad Dermatol"},{"key":"2021043017514151300_CIT0003","doi-asserted-by":"crossref","DOI":"10.1007\/s00431-020-03647-y","article-title":"Lipsch\u00fctz\u2019s acute vulvar ulcer: a systematic review","author":"Vismara","year":"2020","journal-title":"Eur J Pediatr"},{"key":"2021043017514151300_CIT0004","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1086\/527443","article-title":"Murine typhus: an unrecognized suburban vectorborne disease","volume":"46","author":"Civan","year":"2008","journal-title":"Clin Infect Dis"},{"key":"2021043017514151300_CIT0005","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1097\/INF.0000000000001954","article-title":"Murine typhus in South Texas children","volume":"37","author":"Howard","year":"2018","journal-title":"Pediatr Infect Dis J"}],"container-title":["Journal of the Pediatric Infectious Diseases Society"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jpids\/article-pdf\/10\/4\/540\/37740360\/piaa138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jpids\/article-pdf\/10\/4\/540\/37740360\/piaa138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T17:54:42Z","timestamp":1619805282000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpids\/article\/10\/4\/540\/6017794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,3]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,3]]},"published-print":{"date-parts":[[2021,4,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jpids\/piaa138","relation":{},"ISSN":["2048-7207"],"issn-type":[{"value":"2048-7207","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4,1]]},"published":{"date-parts":[[2020,12,3]]}}}