infectious diseases
Scrub Typhus
Key Points
Scrub typhus, endemic in Asia-Pacific, is transmitted by the bite of chiggers (mite larvae). Fever (often accompanied by an eschar at the bite site), chills, severe headache, and generalized lymphadenopathy start suddenly; a rash develops and spreads. Treat withdoxycycline, which results in rapid improvement even in severe cases. 