Round Pneumonia with Murine Typhus after Travel to Indonesia

A 43-year-old healthy male traveled to Bali (Indonesia) for 7 days. Ten days after returning home, he experienced high fever, fatigue, and severe headache and was admitted to our hospital 5 days after the onset of symptoms. He had no history indicating the presence of flea bites. On admission, a maculopapular rash on the trunk was recognized, while pulmonary auscultation sounds were normal. A chest X-ray and computerized tomography scan showed a nodular lesion …