Scrub Typhus
Scrub typhus is a febrile illness caused by bacteria of the family rickettsiae.
C/F: Eschar at the site bitten by mites. Serious complications include pneumonia, myocarditis, meningoencephalitis, acute kidney failure and GI bleeding.
Diag: Immunofluorescence antibody test (IFA) and indirect peroxidase test.
TT: Doxycycline 100 mg PO BD for 14 days. adult.
for child - 4mg /kg/day - 14 days.