Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
Kedami fever, Japanese river fever, river fever, scrub typhus.
Rickettsiosis, which is caused by R. tsutsugamushi.
Specialy found in Asia, Pacific Islands and Australia.
- Rickettsia tsutsugamushi.
- R. tsutsugamuschi is transmitted by mites.
- Axillae, trunk, Leisen, thigh.
- The primary lesion (eschar) is characterised by an erythematous papulovesicle, which may ulcerate.
- Locoregional lymph node adenopathy.
- Maculopapular exanthema (from day 6-10 of illness), enanthema.
- Travel history.
- Lice infestation.
- BB (leukopenia, eosinophilia, thrombocytopenia, ESR ↑), liver and kidney values (transaminases↑).
- From the 2nd week of illness. Weil-Felix reaction (agglutination test).
- From the 3rd week of illness complement fixation reaction.
- From the 3rd week of illness indirect immunofluorescence test.
- Atypical pneumonias.
- Disseminated intravascular coagulation.
- Cao, M., et al., Determination of Scrub typhus Suggests a New Epidemic Focus in the Anhui Province of China. Sci Rep, 2016. 6: p. 20737.
- Ding, L., et al., [Study on the characteristics of temporal distribution and the epidemic trend of autumn-winter type scrub typhus under time series analysis]. Zhonghua Liu Xing Bing Xue Za Zhi, 2012. 33(7): p. 698-701.
- Kim, I.-S. and D.H. Walker, Scrub Typhus, in Tropical Infectious Diseases: Principles, Pathogens and Practice. 2011, Elsevier BV. p. 334-338.
- Kweon, S.S., et al., A community-based case-control study of behavioral factors associated with scrub typhus during the autumn epidemic season in South Korea. Am J Trop Med Hyg, 2009. 80(3): p. 442-6.
- Olson, J.G., Forecasting the onset of a scrub typhus epidemic in the Pescadores Islands of Taiwan using daily maximum temperatures. Trop Geogr Med, 1979. 31(4): p. 519-24.
- Sethi, S., et al., Outbreak of scrub typhus in North India: a re-emerging epidemic. Trop Doct, 2014. 44(3): p. 156-159.
- Watt, G., et al., Scrub typhus infections poorly responsive to antibiotics in northern Thailand. The Lancet, 1996. 348(9020): p. 86-89.
- Watt, G. and P. Parola, Scrub typhus and tropical rickettsioses. Current Opinion in Infectious Diseases, 2003. 16(5): p. 429-436.
- Wei, Y., et al., A city park as a potential epidemic site of scrub typhus: a case-control study of an outbreak in Guangzhou, China. Parasit Vectors, 2014. 7: p. 513.
- Yang, L.P., et al., Comparative analysis of nucleotide sequences of Orientia tsutsugamushi in different epidemic areas of scrub typhus in Shandong, China. Am J Trop Med Hyg, 2008. 78(6): p. 968-72.
- Zhang, L., et al., Follow-up analysis on the epidemic strains of Orientia tsutsugamushi in the first outbreak of scrub typhus in Henan Province, China. Southeast Asian J Trop Med Public Health, 2007. 38(3): p. 482-6.
- Zhang, L.J., et al., Molecular epidemic survey on co-prevalence of scrub typhus and marine typhus in Yuxi city, Yunnan province of China. Chin Med J (Engl), 2007. 120(15): p. 1314-8.
- Zheng, L., et al., Epidemic characteristics and spatio-temporal patterns of scrub typhus during 2006-2013 in Tai'an, Northern China. Epidemiol Infect, 2015. 143(11): p. 2451-8.