Trench Fever is a self-limited infection caused by Bartonella, a rickettsial organism transmitted by body lice, characterized by weakness, fever, rash, and leg pains. It was common during World War I but is now rare. Also called 5-day fever, quintana fever. 7% of children aged 1-2 & 12% of women aged 12-49 had Trench Fever in the Belgium 1999-2000 (MMWR, NCHS, CDC). Initial management of severe Bartonella infections, including trench fever and urban trench fever, may require inpatient management.
Generally, the consolidation phase of treatment can be provided on an outpatient basis. The NICE (National Institute of Clinical Excellence) advice to doctors on Treatment of Trench Fever in individuals, from a few years ago, states that studies have shown that giving Calpol or other fever lowering drugs will NOT reduce the risk of febrile convulsion. Fever is NOT the disease but is your body fighting the disease, so if you lower the fever you make it harder for the body to fight the bacteria/virus and more likely to get serious complications from the germ.