Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi in which humans are accidental hosts. It is a febrile illness which is confined to rural Asia and the Western Pacific islands. Severe complications are very rare. We report four cases of acute fulminant myocarditis in children with scrub typhus. This complication led to severe cardiogenic shock and death in two of them. We beli...

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...

BACKGROUND Scrub typhus is a mite-borne bacterial infection of humans caused by Orientia tsutsugamushi that causes a generalized vasculitis that may involve the tissues of any organ system. The aim of this study was to identify factors associated to severe complications from scrub typhus. METHODS We conducted this prospective, case-control study on scrub typhus patients who presented to the D...

—Most scrub–shrub bird species are declining in the northeastern United States, and these declines are largely attributed to regional declines in habitat availability. American Beaver (Castor canadensis; hereafter “beaver”) populations have been increasing in the Northeast in recent decades, and beavers create scrub–shrub habitat through their dam-building and foraging activities. Few systemati...

Scrub typhus is an infectious disease caused by Orientia tsutsugamushi, which has significant prevalence in eastern and Southeast Asia, such as Japan, Taiwan, Korea, and China. Scrub typhus is a public health issue in Asia, where one billion people may be at risk from the disease. In Guangzhou, the biggest city in south China, located in the southern subtropical region, scrub typhus is becoming...

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...

Introduction Scrub typhus is a potentially fatal infectious disease caused by the organism Orientia tsutsugamushi. It may clinically present as acute flu like syndrome, hepatic dysfunction, pulmonary involvement, cardiovascular, renal dysfunction, aseptic meningitis and multiorgan involvement. A high degree of clinical suspicion and knowledge of the various radiologic manifestations of scrub ty...

Scrub typhus is an acute febrile illness caused by Orientia induced vasculitis, which is common in Asia and the Pacific Islands and is sometimes also encountered in Western countries. Even though it can cause multi-organ dysfunctions, there is limited information regarding the relationship between scrub typhus infection and gastrointestinal dysfunction. Therefore, a cross-sectional study was co...

Background: Scrub typhus is a mite-borne bacterial infection caused by Orientia tsutsugamushi. Hemophagocytic lymphohistiocytosis (HLH) is a potential severe complication. Most reported cases of HLH associated with scrub typhus were single cases or case series with a small sample sizes. Thus, no clear consensus exists on clinical manifestations and differences between pediatric and adult cases ...

The taxonomy of oaks (Quercus) is always a challenge because many species exhibit variable phenotypes that overlap with other species. The scrub White Oaks of California are no exception. In California, Quercus section Quercus (i.e., White Oaks) includes six species of scrub oaks plus four tree oak species. Field identification utilizes leaf traits and acorns, when available, as well as geograp...