NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutTryoutPMCLabsandtelluswhatyouthink.LearnMore.JournalListIndianJDermatolv.62(5);Sep-Oct2017PMC5618834IndianJDermatol.2017Sep-Oct;62(5):478–485.doi: 10.4103/ijd.IJD_388_17PMCID:PMC5618834PMID:28979009ScrubTyphus:AnEmergingThreatSayantaniChakrabortyandNilenduSarma1SayantaniChakrabortyFromtheDepartmentofDermatology,R.G.KarMedicalCollege,Kolkata,WestBengal,IndiaFindarticlesbySayantaniChakrabortyNilenduSarma1DepartmentofDermatology,Dr.B.C.RoyPostgraduateInstituteofPediatricScience,Kolkata,WestBengal,IndiaFindarticlesbyNilenduSarmaAuthorinformationArticlenotesCopyrightandLicenseinformationDisclaimerFromtheDepartmentofDermatology,R.G.KarMedicalCollege,Kolkata,WestBengal,India1DepartmentofDermatology,Dr.B.C.RoyPostgraduateInstituteofPediatricScience,Kolkata,WestBengal,IndiaAddressforcorrespondence:Dr.NilenduSarma,PNColony,SapuiPara,Bally,Howrah-711227,WestBengal,India.E-mail:moc.liamg@amrasudnelinReceived2017Aug;Accepted2017Aug.Copyright:©2017IndianJournalofDermatologyThisisanopenaccessarticledistributedunderthetermsoftheCreativeCommonsAttribution-NonCommercial-ShareAlike3.0License,whichallowsotherstoremix,tweak,andbuildupontheworknon-commercially,aslongastheauthoriscreditedandthenewcreationsarelicensedundertheidenticalterms.ThisarticlehasbeencitedbyotherarticlesinPMC.ScrubtyphusiscausedbyOrientiatsutsugamushi(formerlyRickettsia)andistransmittedtohumansbyanarthropodvectoroftheTrombiculidaefamily(LeptotrombidiumdelienseandL.akamushi).Itisthemostcommonre-emergingRickettsialinfectioninIndiaandmanyotherSouthEastAsiancountries.Infact,scrubtyphusisconfinedgeographicallytotheAsiaPacificregion,abillionpeopleareatriskandnearlyamillioncasesarereportedeveryyear.Scrubtyphusappearsparticularlytobedistributedinthetsutsugamushitrianglewhichisdistributedoveraverywideareaof13millionkm2boundbyJapanintheeast,throughChina,thePhilippines,tropicalAustraliainthesouth,andwestthroughIndia,Pakistan,possibly