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Related to Brill-Zinsser disease: ehrlichiosis, recrudescent typhus, Rickettsia typhi
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Brill-Zinsser disease can develop >40 years after acute infection.
These possible cases of Brill-Zinsser disease were likely not severely ill and recovered either with antimicrobial treatment that was effective against R.
Sporadic cases of Brill-Zinsser disease are reported every year in all regions of the former Soviet Union (9) and because most of the population has no immunity to R.