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Exam questionKROK 1Medicine · 2014

A 55-year-old patient with a characteristic rash, fever, dizziness has been admitted to a hospital. He has been provisionally diagnosed with typhus. No similar cases have been reported. In his youth (15 years old) the patient suffered typhus in a boarding school. What disease is it?

Answer options

  1. Rubella
  2. Cholera
  3. Brill’s disease
  4. Typhoid fever
  5. Measles
Correct answer

Brill’s disease

Explanation

A 55-year-old patient with a characteristic rash, fever, dizziness has been admitted to a hospital. He has been provisionally diagnosed with typhus. No similar cases have been reported. In his youth (15 years old) the patient suffered typhus in a boarding school. What disease is it?Typhus is caused by RICKETTSIAE Prowazekii. This bacteria can remain latent and reactivate after months or even years. When it reactivates, it is known as BRILL’S DISEASE.

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