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Scrub typhus imported to Scandinavia.

Mogens Jensenius1, Richard Montelius, Dag Berild

  • 1Department of Internal Medicine, Aker University Hospital, Oslo, Norway. mogens.jensenius@ioks.uio.no

Scandinavian Journal of Infectious Diseases
|February 28, 2006
PubMed
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This study reports the first Scandinavian cases of scrub typhus, an infection caused by Orientia tsutsugamushi. Prompt antibiotic treatment with doxycycline or ciprofloxacin led to rapid recovery in most patients.

Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Microbiology

Background:

  • Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi.
  • It is endemic in the 'Tsutsugamushi Triangle' of the Western Pacific and Southeast Asia.
  • Imported cases in non-endemic regions highlight the importance of travel-associated disease surveillance.

Observation:

  • Three cases of scrub typhus were diagnosed in Scandinavian patients returning from Southeast Asia.
  • Patients reported recent travel to Thailand, Laos, and Sri Lanka.
  • Clinical presentation varied, with two patients experiencing mild illness and one a prolonged convalescence.

Findings:

  • All three patients had confirmed scrub typhus infection.
  • Serological tests detected specific antibodies against Orientia tsutsugamushi in all cases.

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  • Two patients treated with ciprofloxacin and doxycycline showed rapid clinical improvement.
  • The untreated patient experienced a protracted recovery period.
  • Implications:

    • This study confirms the risk of scrub typhus importation to Scandinavia through international travel.
    • Early diagnosis and prompt treatment with doxycycline or ciprofloxacin are crucial for favorable outcomes.
    • Clinicians in non-endemic regions should consider scrub typhus in patients with relevant travel history and febrile illness.
    • Enhanced awareness and diagnostic capabilities are needed to manage imported cases of scrub typhus.