Clinical Manifestations

After an incubation period lasting between 14 and 30 days, trench fever elicits typical typhuslike symptoms: sudden onset, chills, headache, dizziness, and body aches and pains. Two of its descriptive names, shin fever and shank fever, recall its characteristic leg pains. Although also known as 5-day fever or quintan fever, the disease usually disables its victims for 5 or 6 weeks. About half of those afflicted suffer only one bout of fever, but the other half may have a number of relapses. Although trench fever is never fatal, it caused a greater loss of manpower during World War I than did any other malady except influenza.

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