This is a disease that came to prominence in the first world war.
A rickettsia-like organism Bartonella quintana is believed to be the organism responsible for trench fever.
There have more recently been outbreaks of B. quintana bacteraemia in homeless, alcoholic men reported in France and the USA. These groups showed features of the original first world war descriptions of trench fever. Some patients also had a bartonella endocarditis.
Reference:
Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page