BACKGROUND Infection-related acute kidney injury (AKI) is an important preventable cause of morbidity and mortality in the tropical region. The prevalence and outcome of kidney involvement, especially AKI, in scrub typhus is not known. We investigated all patients with undiagnosed fever and multisystem involvement for scrub typhus and present the pattern of renal involvement seen. METHODS Fro...

Scrub typhus, which is caused by Orientia tsutsugamushi, has various systemic manifestations, including GI symptoms. We describe one patient with scrub typhus who presented with symptoms that suggested acute appendicitis and another who presented with symptoms of acute cholecystitis. The first patient underwent appendectomy, which revealed no pathological findings in the appendix; subsequently,...

cal countries but has protean manifestations. The classical presentation of fever with eschar and accompanying gastrointestinal, respiratory or neurological involvement is seen only in a small percentage of cases. Unusual and distracting symptoms and signs have been increasingly associated with scrub typhus, hence, a high index of suspicion should be entertained in febrile children, especially ...

Scrub typhus, also called tsutsugamushi disease in Japan, is one of the most common rickettsial diseases in this country. Fever, skin rash, eschar and elevated hepatic enzymes are main clinical features of scrub typhus. We present the case of a 55 year-old woman contracted with this infection without skin eruption and abnormal liver function. The finding of an unusual eschar helped us to make a...

background and objectives: hand hygiene is a crucial measure for preventing healthcare-related infections. surgical scrub is an important factor in the safety and success of a surgical operation. the aim of this study was to comparatively evaluate effectiveness of some conventional surgical antiseptic solutions, and to identify the most effective one. methods: effectiveness of alcohol-based sol...

Background: The Taiwan Area includes the main island of Taiwan and several small associated islands, which are located off the coast of Southern China. The eastern two-thirds of Taiwan’s main island are characterized by rugged mountains covered with tropical and subtropical vegetation. Western Taiwan’s main island is characterized by flat to gently rolling plains. The geographical distribution ...

Dengue fever and scrub typhus are common causes of acute febrile illness of unclear origin in Asia. Though coinfections of many vector-borne diseases have been described, articles on dengue and scrub typhus coinfection are distinctly limited. In case of coinfection with dengue and scrub typhus, vigilant monitoring of vitals, platelets transfusion, and timely treatment with doxycycline are neces...

This is a case report of a 12-year-old returned traveler with typhoid and scrub typhus coinfection. The diagnosis of typhoid was made early with blood cultures and Widal Weil Felix serology. Persistent fever despite appropriate antibiotics for typhoid fever prompted a search for concomitant infection, which led to the diagnosis of scrub typhus confirmed by Orientia tsutsugamushi serology. The p...

We describe 6 patients with scrub typhus who presented with acute hearing loss, a forgotten complication of this reemerging disease. They were admitted with fever of 10-14 days' duration and had clinical evidence of deafness and pneumonitis. Five patients had eschars, which prompted the diagnosis of typhus fever and led to early institution of treatment. Deafness has been described as a clue to...

Two cases of scrub typhus are described. In both, the existence of a genital eschar with regional adenitis pointed to venereal infection. Although only two cases have been recorded during the previous two years at the Venereal Disease Department of the British Military Hospital, Singapore, it is possible that others have been missed and it is considered that scrub typhus should enter into the d...