These results suggest a risk for rickettsial disease, including scrub typhus
and especially spotted fever, among US military personnel stationed in or visiting South Korea.
Furthermore, even after the development of epididymo-orchitis we did not consider the diagnosis of scrub typhus
as it is a very rare presentation.
Investigations to identify transmission rates of scrub typhus
in US Soldiers deployed to the ROK were initiated as a result of a comprehensive rodent surveillance program at field training sites supported by funding through the Global Emerging Infections Surveillance and Response System and the National Center for Medical Intelligence.
or tsutsugamushi disease transmitted by chigger bite is a febrile illness caused by Orientia tsutsugamushi bacteria of family Rickettsia.
Rickettsial diseases are widely distributed throughout the world and many recent reports suggest to their continued presence in several parts of the Indian subcontinent, particularly that of scrub typhus
tsutsugamushi in bronchoalveolar lavage fluid from a patient with scrub typhus
shows that this bacterium can be present in such samples.
According to this work, there are 5 reports (1-5) on 23 cases of pleuropulmonary scrub typhus
(16 males, 7 females).
In both years majority of scrub typhus
occurred in individuals above 14 yr of age.
is a vector-borne, acute febrile illness caused by Orientia tsutsugamushi, an obligate intracellular, gram-negative bacterium.
Complicated malaria may closely mimic other commonly prevalent infections like enteric fever, leptospirosis, dengue haemorrhagic fever, acute viral hepatitis, viral meningoencephalitis, scrub typhus
and severe sepsis of obscure origin.
The predominant rickettsioses reported in Asia are murine typhus and scrub typhus
, which are caused by R.
Amongst the rickettsiosis, scrub typhus
is prevalent in many parts of India (6).