什么是Scrub Typhus (Tsutsugamushi Fever)？
Scrub typhus (Tsutsugamuchi Fever) is one of three versions of typhus caused by bacteria. The bacteria that causes scrub typhus is called Orientia tsutsugamushi (previously called a Rickettsia).
The other two forms of typhus are murine typhus and epidemic typhus which are caused by Rickettsia germs.
如何获得Scrub Typhus (Tsutsugamushi Fever)？
Scrub typhus is transmitted by some types of mites (chiggers) which are found in areas of heavy scrub vegetation. The infection is not transmitted from person to person.
易感性和抗性
All persons are susceptible, but one attack results in long lasting immunity against any future infections.
症状是什么？
The illness usually begins with the appearance of a characteristic black ulcer where the infected mite was attached. Fever, headache, muscle aches and pains, red eyes, swollen lymph glands and gastro-intestinal symptoms appear within several days. A rash appears on the arms, legs and body and lasts for a few days. Pneumonia and a resulting cough are common. If untreated, between 1 to 60 percent of the cases will die depending on the strain of the infecting germ.
预防措施
目前没有针对这种疾病的疫苗。最好的预防措施是通过正确使用驱虫剂来避免螨虫叮咬，在已知有螨虫感染的区域内进行自我检查，并穿着防护服。
处理
Tetracyclines (e.g., doxycycline) and cloramphenicol antibiotics are effective. However, if given early in the illness, a relapse may follow when treatment is completed. A second course of treatment may be necessary.
药物
它常见于哪里？
灌木斑疹伤寒通常见于中亚，东亚和东南亚，特别是在韩国，中国，台湾，日本，巴基斯坦，印度，泰国，马来西亚和澳大利亚北部地区。
