At a glance
- Typhus fevers are a group of diseases caused by bacteria that are spread to humans by fleas, lice, and chiggers.
- Typhus fevers include flea-borne (murine) typhus, epidemic typhus and scrub typhus.
- Fleas spread flea-borne typhus, body lice spread epidemic typhus, and chiggers spread scrub typhus.
- The most common symptoms are fever, headaches, and sometimes rash.

Overview
Flea-borne typhus
Flea-borne typhus, also called murine typhus or endemic typhus, is a disease caused by the bacteria Rickettsia typhi. Flea-borne typhus is spread to people through contact with infected fleas, most commonly the Oriental rat flea (Xenopsylla cheopsis) and the cat flea (Ctenocephalides felis).
Epidemic typhus
Epidemic typhus, also called louse-borne typhus, is an uncommon disease caused by bacteria called R. prowazekii. Epidemic typhus is spread to people through contact with infected body lice.
Scrub typhus
Scrub typhus, also known as bush typhus, is a disease caused by bacteria called Orientia tsutsugamushi. Scrub typhus is spread to people through bites of infected chiggers (larval mites).