Back issues No.3 - 1997 / Case Report  

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Scrub Typhus
Chieh-Shan Wu, Chung-Hsing Chang, Gwo-Shing Chen, Hsin-Su Yu
Dermatol Sinica 15: 216-221, 1997

Scrub typhus, also named Tsutsugamushi disease, is an acute febrile infectous disease caused by Rickettsia tsutsugamushi and mediated by mite. It was prevailing in south and north east Asia countries, Indonesia, and Pacific islands including Taiwan and Pescadores Islands. Since 1970, it has been rarely found in Taiwan area with exceptions of the east coast and neighboring islands. We herein report a 65-year-old female from the Pescadores Island who suffered from intractable prolonged fever & cgullness, severe headache, and a 1×1.5 cm eschar on her right side of abdomen, but on other skin lesion was noticed. Indirect immunofluorescent antibiody test showed strong positive against the Gillam strain though Weil-Felix test revealed negative finding. She had good response to minocycline and recovered completely. No obvious sequela was found up to now.

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