scrub typhus; Japanese river fever
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Etiology
- Orientia tsutsugamushi (formerly Rickettsia tsutsugamushi)
Epidemiology
- endemic in South Pacific, Australia, Asia
- transmitted by trombiculid mites, also known as chiggers
Clinical manifestations
- fever prior to rash (case report)[2]
- diffuse maculopapular skin eruption starting on the trunk
- eschar at site of mite bite
- headaches
- myalgias
- regional adenopathy
* images[2]
Complications
- untreated mortality up to 30%
Management
- doxycycline 100 mg PO BID for 7 days[2]
- see Rocky Mountain spotted fever
More general terms
Additional terms
References
- ↑ Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 91
- ↑ 2.0 2.1 2.2 2.3 Lee CS, Hwang JH (images) Scrub Typhus. N Engl J Med 2015; 373:2455. December 17, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26672847 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1503639