Epidemic typhus meningitis in the southwestern United States

A patient residing in New Mexico had murine typhus diagnosed. A novel molec ular assay was performed at the Centers for Disease Control and Prevention, and Rickettsia prowazekii, the agent of epidemic typhus, was found, rather than R. typhi. To our knowledge, this is the first reported case of epidem ic typhus confirmed by means of polymerase chain reaction-based testing of cerebrospinal fluid, and it introduces a novel assay for the molecular diag nosis of both epidemic and murine typhus.