11 S crub Typhus, or tsutsugamushi disease is a febrile illness caused by bacteria of the family rickettsiaceae and named Orientia tsutsugamushi. Scrub typhus is endemic to a geographically distinct region, the so-called tsutsugamushi triangle, which includes Japan, Taiwan, China, and South Korea. 1 It also occurs in nepal, northern Pakistan, Papua new Guinea, and the Australian states of Queen...

Context: Anthrax is a very rare disease in Europe and the United States. Aim: A case of cutaneous anthrax of the hand with a wide skin defect is presented and some clinical observations highlighted. Case Report: A 56-year-old male patient with cutaneous anthrax attended our infectious diseases department with a swelling up to the upper arm. An urgent fasciotomy was undertaken with a diagnosis o...

Rickettsialpox is a cosmopolitan, mite-borne, spotted fever rickettsiosis caused by Rickettsia akari. The disease is characterized by a primary eschar, fever, and a papulovesicular rash. Rickettsialpox was first identified in New York City in 1946 and the preponderance of recognized cases in the United States continues to originate from this large metropolitan center. The most recently isolated...

Topical and systemic antibiotic treatment are essential in the prevention of wound infections. Systemic antibiotics, on other hand, strongly linked to mechanisms resistance, which jeopardize process. The direction antibiotics eschar becomes less reliable deeper burn thicker for local care . As a result, topical appear as viable option, they help maintain “high sustained concentration antimicrob...

Ecthyma gangrenosum is an uncommon dermatological manifestation characterized by round, indurated ulcers with a central necrotic black eschar and surrounding erythema. This report describes the case of a 5-year-old girl, affected by acute lymphocytic leukemia, presenting with a black eschar on her right thigh. Such lesions should always be correctly identified to avoid potentially fatal bactera...

Scrub typhus is a major infectious threat in the Asia-Pacific region. We report an unusual case of scrub typhus in a patient in Singapore who presented with sepsis and acute respiratory distress syndrome but lacked the pathognomonic eschar. The patient recovered after appropriate diagnosis and doxycycline treatment. Rickettsial diseases should be included in the differential diagnosis of febril...

Scrub typhus is zoonotic disease caused by Orientia tsutsugamushi (O tsutsugamushi). It is transmitted to humans by the bite of trombiculid mite larvae (chiggers). It is a re-emerging infectious disease in India. Clinical manifestations include fever, headache, anorexia, myalgia, eschar, adenopathy and maculopapular rash. Complications of Scrub typhus develop after first week of illness. Compli...

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...