1C11.1

Trench fever

Febre das trincheiras

Category

Definition

Trench fever is due to an infection by Bartonella quintana usually transmitted by the human body louse. A disease associated with poor sanitation in First World War trenches, trench fever may now be found amongst the homeless or alcoholic urban poor. It begins with chills and fever after an incubation period of a few days to a month. Occasionally, the patient experiences only a single febrile episode that lasts 4 or 5 days. More commonly, several episodes of fever occur. Each episode lasts about 5 days, which is the origin of the designation quintana. The patient cycles between severe chills and profuse sweating. In other patients, continuous fever lasts 2-6 weeks.

Inclusions

  • Quintan fever

Index Terms

Trench feverQuintan feverfebris quintatafive day feverfever due to Rickettsia quintanafebris quintanashin bone feverHis-Werner diseasefever due to Bartonella quintanafever due to Rochalimaea quintanaWolhynian feverMeuse fever