scrub typhus

Also called Tsutsugamushi disease, a disease caused by rickettsia carried by mites, and leading to ulcers at the site of inoculation, followed by fever, headache, lymph node enlargement, and generalized rash. Cough and chest X-ray abnormalities are common.

Encephalitis and myocarditis may occur with fatal outcome. It occurs mainly in the Far Eat and Australia and is generally seen in people who work on scrubland. Tetracyclines eradicate the infection.

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• HEALTH AND DISEASE

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