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trench fever : ウィキペディア英語版 | trench fever
Trench fever (also known as "five-day fever", "quintan fever" (''febris quintana'' in Latin), and "urban trench fever") is a moderately serious disease transmitted by body lice. It infected armies in Flanders, France, Poland, Galicia, Italy, Salonika, Macedonia, Mesopotamia, and Egypt in World War I (three noted sufferers being the authors J.R.R. Tolkien, A. A. Milne, and C.S. Lewis), and the German army in Russia during World War I.〔 From 1915 to 1918 between one-fifth and one-third of all British troops reported ill had trench fever while about one-fifth of ill German and Austrian troops had the disease.〔 The disease persists among the homeless.〔Milonakis, Eleftherios, and Michael A. Forgione. "Trench Fever". EMedicine. 26 June 2006. 11 June 2007 .〕 Outbreaks have been documented, for example, in Seattle and Baltimore in the United States among injection drug users and in Marseille, France,〔 and Burundi. Trench fever is also called Wolhynia fever, shin bone fever, Meuse fever, His disease and His–Werner disease (after Wilhelm His, Jr. and Heinrich Werner). The disease is caused by the bacterium ''Bartonella quintana'' (older names: ''Rochalimea quintana'', ''Rickettsia quintana''), found in the stomach walls of the body louse.〔 ''Bartonella quintana'' is closely related to ''Bartonella henselae'', the agent of cat scratch fever and bacillary angiomatosis. ==Pathology and transmission== ''Bartonella quintana'' is transmitted by contamination of a skin abrasion or louse-bite wound with the faeces of an infected body louse (''Pediculus humanus corporis''). There have also been reports of an infected louse bite passing on the infection.〔
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