Definition: an uncommon rickettsial fever caused by Bartonella quintana and transmitted by the louse Pediculus humanus, first appearing as an epidemic during the trench warfare of World War I; characterized by the sudden onset of chills and fever, myalgia (especially of the back and legs), headache, and general malaise that typically lasts 5 days but may recur.
Synonym(s): five-day fever, quintan fever, shin bone fever
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