| spotted fever from rickettsia typhi in an older woman: a case report from a geographic area where it would not be expected. | we describe the case of a 75-year-old woman presenting with spotted fever followed by acute renal failure and septic shock. the infection was caused by rickettsia typhi, not reported in calabria district (southern italy) since world war ii. the diagnosis of murine typhus was made 3 days after admission and was based solely on clinical criteria when her worsening condition required a prompt move to the intensive care unit. therapy with tigecycline was then started immediately and the patient impr ... | 2014 | 25111740 |