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Erythematous Patch in Tsutsugamushi Disease - An Atypical Form of Eschar

Infection & Chemotherapy 2020년 52권 3호 p.403 ~ 406
정문현, 강재승,
소속 상세정보
정문현 ( Chung Moon-Hyun ) - Seogwipo Medical Center Department of Internal Medicine
강재승 ( Kang Jae-Seung ) - Inha University Department of Microbiology

Abstract


Tsutsugamushi disease is caused by the bacterium, Orientia tsutsugamushi and transmitted by chigger mites. In addition to the typical dark eschar, various forms of the eschar, including papules and vesicles, develop at chigger bite sites. Macular lesions were reported only in a human inoculation study; the inoculation lesions relapsed as erythematous macules or erythema-based papules concomitant with fever relapse. Herein, we report an erythematous patch as an inoculation lesion in two patients with tsutsugamushi disease, which, additionally, displayed a central small circle of 1 mm in diameter, possibly a chigger bite site, and desquamation around the circle during doxycycline therapy.

키워드

Erythema; Eschar; Orientia tsutsugamushi; Scrub typhus; Tsutsugamushi disease

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