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  1. Reasons
  2. Symptoms
  3. Diagnosis
  4. Treatment

Infectious disease caused by Rickettsia of Provasca called


. Otherwise, this disease is also called Brill’s disease. The carrier of the disease cootie, at least the causative agent of typhus head or pubic lice.

When the disease affects the inner shell, which lines the blood vessels of man. May be accompanied by the development

there are irregularities in the cardiovascular or nervous systems.

Some patients who have had disease typhus, relapse may occur, that is, after some period of time the disease begins again to grow. Brill’s disease it’s just a case of recurrent typhus. The disease is characterized by the absence of lice as the patient and people around him.

The first form of the disease – the epidemic typhus, which happens to be typical and atypical. For a typical shape characteristic of the standard symptoms. Atypical form of the disease there may be no rash, slightly pronounced symptoms.


A disease is a person sick with typhus. The carrier of the disease and the causative agent of typhus lice, mostly a, less vectors can be head or pubic lice.

Lice are very sensitive to temperature change. If the body temperature of the patient rises, they leave and move on to healthy people. Thereby they become carriers of infection from person to person. Very rarely transmit the disease through airborne droplets (when a person inhales air containing the dried faeces of lice) or if the feces enters the eye. There are also cases of human infection through donor blood.

Very often, the disease can be observed in places of mass migration of people, when there is the presence of mass

when people have no opportunity to use hygiene products, in the absence of water or Laundry.

Brill’s disease can occur in people who already had typhus. The disease may begin to develop even forty years after an illness. This disease is not tolerated by insects and is a consequence of the development already existing in the body of the pathogen.


The primary symptoms of typhoid fever typhus (Brill’s disease)

  • headache
  • aching of muscles and joints of the patient
  • the signs of intoxication.

The symptoms of the disease typhus, which appear a few days after onset of illness

  • vomiting
  • severe headache
  • increased body temperature
  • hold high temperature or decreases and further increase
  • hallucinations
  • insomnia
  • lethargy or euphoria
  • weakening of facial muscles
  • the speech and hearing
  • redness of the face
  • swelling
  • the blue lips
  • the skin is hot and dry.

When the disease typhoid, the symptoms in humans appear on the body after infection. Initially the rash appears behind the ears, on the neck, chest, abdomen, arms and legs. Very rare rash on the face and soles.

Later in the education of roseola may occur petechial hemorrhages or petechiae. Also, petechiae may meet separately from the rash. If petechiae is more, it may be the cause of vascular lesions.

Through time roseola become pale, and at the location of the petechiae is a light skin pigmentation. Again rashes usually do not appear.

Other symptoms of the disease

  • low blood pressure
  • shortness of breath
  • thirst
  • poor appetite
  • bloating
  • the passing of urine or ischuria.

The first sign of patient’s recovery can be considered a reduction of body temperature and normalization of the pulse.

Brill’s disease typhus or relapsing fever is characterized by a lighter course of the disease. Symptoms of Brill disease

  • damage to blood vessels is less pronounced
  • rash is the same as in typhus typhoid
  • localization of the rash is not different from a regular fever
  • resealing elements much larger than petechiae
  • euphoria or lethargy
  • the increase in body temperature
  • heart palpitations.

Sometimes disease Brill may not have even rashes. The disease from five days to one month. Basically in most patients, the incubation period lasts 10 days.


Diagnosis of the disease includes an analysis on typhoid and the elucidation of such factors

  • if the body of a man bites
  • if you have a headache
  • determination of the nature of the rash on the fifth day of the disease.

Also of great importance in determining the diagnosis of the diagnosis of the patient’s blood. It is possible to consult with an infectious disease specialist, dermatologist and infectious disease.


The treatment of typhus must be accompanied by the appointment of bed rest. Treat the disease with antibiotics, prescribe medications, which do not give rise to blood clotting. The patient is administered intravenous solutions of glucose and also salt solutions in order to remove the symptoms of intoxication. If necessary, the patient is disease fever treatment is prescribed with the use of fever-reducing drugs and painkillers drugs. Also sick with typhus prescribe bracing therapy (vitamin and mineral complexes, vitamin C to strengthen the vascular wall). If a person begins to develop

to the General treatment he added drugs to normalize the heart (digitalis), drugs that increase blood pressure and contribute to the preservation of the tonus of the vascular walls (vasopressors).


There are some complications and implications of transfer of typhus

  • (vocalled blood vessels, which is accompanied by the formation of a blood clot, which clog the vessel and allow blood to circulate normally)

  • thrombosis arteries (pulmonary artery occluded due to blood clotting). This is one known cause of lethal outcome after antibiotic treatment, even if the form of the disease easy
  • bleeding in the brain
  • inflamed muscle layer of the heart (


  • psychosis (develops due to lesions of the human nervous system)
  • (if joins secondary infection)

  • mumps
  • bedsores (after the defeat of vessels may avoid necrosis, as a result of circulatory disorders or malfunctions of the vascular system)
  • gangrene (when the blood circulation and the accession of bacteria possible death of body tissues).

Mostly complications from the disease occur very rarely

  • elderly people can begin to develop


    and other diseases associated with blood circulation

  • if joining a secondary infection can develop




Prevention of typhus (Brill’s disease) aims to timely combat the spread of lice or pediculosis. It is also necessary to promptly detect the disease and the diseased to prevent the spread of the disease on the broad masses of people. In identifying foci of disease throughout the week, we conducted a General inspection and survey people for the presence of typhus. If the risk of disease is increased, for the prevention of typhoid vaccinations. If people have a suspicion of the disease Brill, required urgent hospitalization.

Until the end of the development mechanisms of recurrent typhus has not been studied. The re-emergence of the disease with typhus or relapse only says that when transfer of disease is not formed lifelong immunity.

Most likely causes are the following factors

  • the pathogen remains in the human body for some time it is dormant
  • in the formation of a positive environment, for example, diseases that suppress the immune system, when strong emotional and physical shocks, the causative agent wakes up and the disease begins to re-evolve
  • in the human body can be formed form of the disease that does not cause a reaction of the immune system.
  • after a certain period of time when the immunity to the pathogen is weakened, the body becomes again the ordinary form, and the disease begins to develop anew.