Eschar as a Sensitive Marker for Scrub Typhus Diagnosis at the Primary Healthcare Level

Background and aim of study: Scrub typhus, a potentially fatal rickettsial disease, is reported from many Indianstates, but mostly tertiary care centers. This study distinct as it was undertaken in primary center ina rural area. Aim to observe the age, gender occupational profile patients diagnosed with scrub typhusat our during period January 2017-19; find out about site day appearance escharwith respect duration fever note clinical features complications typhus.Methods: Study sample consisted presenting who developed an eschar positive serologyfor Ig M on 10th day.Conclusion: A total 31cases were seen, which four children eighteen adult females. The“eschar” picked up within 5 days onset 26(84%) cases. There no mortality. isunique also large size cases short latency effective treatment. The studyemphasizes necessity picking by detailed examination all pyrexia institutingearly specific