Murine typhus in returned travelers to Toronto, Canada

Outpatient care eight days after admission was notable for a completely resolved clinical syndrome, normalized blood work, and negative serology for hepatitis A (IgG, IgM), Hepatitis B (surface antigen, core total antibody), hepatitis C, Dengue virus (IgG, IgM), Chikungunya virus (IgG, IgM), and Leptospirosis. In addition to flea bites, transmission may result from exposure to flea feces rubbed in to skin abrasions or the conjunctiva, or inhaled into the respiratory tract [5]. Clinicians should be aware of this diagnosis, especially with rebounding global travel volumes following the acute phase of the COVID-19 pandemic.Funding statement This work was unfunded.Declaration of competing interest IIB consults to BlueDot, a social benefit corporation tracking emerging infectious diseases, and to the NHL Players’ Association.