The eschar of scrub typhus

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Evolution of Eschar in Scrub Typhus

A 60-year-old man presented with fever that developed 1 day before admission. The patient had recently returned from collecting acorns in the mountains 8 days before admission. Physical examination revealed a 0.5 × 0.5-cm eschar on the right chest wall. Indirect immunofluorescent antibody testing revealed an Orientia tsutsugamushi antibody titer of 1:2,560. The appearance of eschar was evaluate...

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Eschar: a cutaneous clue to scrub typhus.

60-year-oldmanpresentedwith a seven-day history of fever, eadache, fatigue, and decreased urine output. On examinaion, he was febrile (38 ◦C), and had tachycardia. A blackish kin lesion was noted on the right side of his neck (Fig. 1). scharwas not preceded by any pain or itching. His hemogram evealed a hemoglobin count of 11.8 gm/dL, total leukocyte ount of 6300/mm3, and a platelet count of 80...

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Eschar: a clue to scrub typhus.

E1152 CMAJ, October 18, 2011, 183(15) © 2011 Canadian Medical Association or its licensors A33-year-old man from a rural Taiwanese village was admitted with a three-day history of fever, headache, muscle pain and skin rashes. On examination, he was febrile (39.2°C) with generalized macular patches and an eschar measuring 15 mm on the left lower quadrant of his abdomen (Figure 1). His leukocyte ...

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Usefulness of eschar PCR for diagnosis of scrub typhus.

We report here on the case of a child who was infected with scrub typhus, and we made the diagnosis according to the serology and by performing PCRs on the child's eschar. The patient was treated with azithromycin, and he did not experience any complications. Performing nested PCR on the eschar might be both a rapid diagnostic test for scrub typhus in the early acute stage and a differential te...

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Atypical eschar: An unusual cutaneous manifestation of scrub typhus.

chigger fever, is a mite-transmitted zoonosis caused by Orientia tsutsugamushi. The vector is the larval stage (chigger) of the trombiculid mite (Leptotrombidium deliense and several other Leptotrombidium spp). The mites and the rodents that carry them serve as the major reservoirs1. Scrub typhus is widely prevalent in the ‘tsutsugamushi triangle’ region of the world spanning the Indian subcont...

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ژورنال

عنوان ژورنال: The Indian Journal of Pediatrics

سال: 2010

ISSN: 0019-5456,0973-7693

DOI: 10.1007/s12098-010-0157-3