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Q J Med 2002; 95: 126-128
© 2002 Association of Physicians

Correspondence

Acute respiratory distress syndrome in scrub typhus

R.-W. Tsay and F.-Y. Chang

Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Sir,

Scrub typhus, caused by Orientia tsutsugamushi, is transmitted to humans by the bite of the larval stage of thromboculid mites or chiggers. It is distributed widely in the Asia-Pacific region and is common in some parts of Taiwan. It is an acute febrile illness characterized by a typical primary lesion (eschar), generalized lymphadenopathy, rash, and non-specific symptoms such as fever, chills, cough, abdominal pain and myalgia. Clinically, the manifestations and complications of scrub typhus are protean. Serious complications are not uncommon and may be fatal if diagnosis is delayed. Complications include myocarditis, meningitis, . . . [Full Text of this Article]

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