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Also known as: scrub typhus · Orientia tsutsugamushi · rickettsial fever
A mite-borne rickettsial infection (Orientia tsutsugamushi) — fever, headache, myalgia and often a painless eschar. Common in the monsoon in endemic Asia; it responds rapidly to doxycycline.
People exposed to scrub vegetation and mites (rural, agricultural, monsoon) — a leading cause of acute febrile illness in endemic parts of India.
First-line (rapid defervescence)
Caution: Treat empirically on suspicion; short courses are acceptable in children.
Alternative (pregnancy/children)
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