Tench fever is a louse-borne disease caused by Bartonella quintana and observed originally in military populations during World Wars I and II. Symptoms are an acute, recurring febrile illness, occasionally with a rash. Diagnosis is by blood culture. Treatment is with a macrolide or doxycycline. 0.3% of male population self-reported having Trench fever in Finland 2002. The term trench fever refers to the crowded conditions in which troops fought in during World War I and World War II.
Erythromycin and azithromycin are both used to treat trench fever. Four weeks of treatment are usually necessary. Inadequate treatment often results in a relapse. 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.