ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cDovL2VtZWRpY2luZS5tZWRzY2FwZS5jb20vYXJ0aWNsZS85NzE3OTctb3ZlcnZpZXc=processing....Drugs&Diseases>Pediatrics:GeneralMedicineScrubTyphusUpdated:Apr19,2018Author:DavidJCennimo,MD,FAAP,FACP,FIDSA,AAHIVS;ChiefEditor:RussellWSteele,MD more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsScrubTyphusSectionsScrubTyphusOverviewPracticeEssentialsBackgroundPathophysiologyEtiologyEpidemiologyPrognosisShowAllPresentationHistoryPhysicalExaminationComplicationsShowAllDDxWorkupTreatmentApproachConsiderationsPharmacologicTreatmentPreventionShowAllMedicationMedicationSummaryAntibioticsShowAllQuestions&AnswersMediaGalleryReferencesOverviewPracticeEssentialsScrubtyphusisanacute,febrile,infectiousillnessthatiscausedbyOrientiatsutsugamushi.Thenamederivesfromthetypeofvegetation(ie,terrainbetweenwoodsandclearings)thatharborsthevector.Theimagebelowdepictsatypicalescharseeninscrubtyphus.Typicaleschar.ViewMediaGallerySignsandsymptomsElementsbroughtoutinthehistorymayincludethefollowing:TraveltoanareawherescrubtyphusisendemicChiggerbite(oftenpainlessandunnoticed)Incubationperiodof6-20days(average,10days)Headaches,shakingchills,lymphadenopathy,conjunctivalinjection,fever,anorexia,andgeneralapathyRash;asmall,painless,graduallyenlargingpapule,whichleadstoanareaofcentralnecrosisandisfollowedbyescharformationAlthoughmanyotherconditionscanpresentwithahighfever,thepresentationoftherash,ahistoryofexposuretoendemicareas,andthepresentationofthesorecausedbythebite