Multiple eschars in scrub typhus

Area of Science:

• Infectious Diseases
• Dermatology
• Tropical Medicine

Background:

• Scrub typhus is a febrile illness caused by Orientia tsutsugamushi.
• Eschar, a necrotic lesion, is a characteristic sign of scrub typhus.
• The presence of multiple eschars is uncommon in scrub typhus cases.

Observation:

• This report details a patient presenting with fever and multiple eschars.
• The clinical presentation included characteristic skin lesions.
• Diagnostic investigations confirmed scrub typhus.

Findings:

• The patient was diagnosed with scrub typhus.
• Multiple eschars were a key diagnostic feature in this case.
• This presentation is atypical for scrub typhus.

Implications:

• Recognizing multiple eschars can aid in the early diagnosis of scrub typhus.
• This case expands the spectrum of clinical presentations for scrub typhus.
• Increased awareness of this sign may improve patient outcomes in endemic areas.