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Scrub typhus (to consider)

General health information, not a diagnosis. In an emergency, call 102. Always consult a qualified health professional.

SmartAnalysis by DigiNepal SI

Scrub typhus (to consider) is an infectious condition assessed by SI. generated by SI from cited sources · general information, not a diagnosis · consult a health professional

Sources: SI, NLM MedlinePlus, CDC · Reference · https://www.cdc.gov/typhus/; https://www.mayoclinic.org/search/search-results?q=Scrub%20typhus; Guideline: WHO SEARO rickettsial guidance, ICMR 2015; https://edcd.gov.np

What it is

Scrub typhus (to consider) is an infectious condition assessed by SI.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Symptoms

Fever, headache, body ache, a painless black scab-like sore (eschar) at the bite site, rash, swollen glands.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Causes

Orientia tsutsugamushi bacteria spread by bites of infected mite larvae (chiggers) in grass, bushes and fields.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

When to seek care

EMERGENCY, go now: breathlessness, confusion, fits, low urine, yellow eyes. See a clinician for fever after field or forest work, especially if you find an eschar.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Diagnosis

Scrub typhus IgM ELISA, or PCR in early illness; looking for an eschar helps.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Care & treatment

Responds well to antibiotics prescribed by a clinician when started early; delay can lead to organ complications. No dosing information is given here.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Prevention

Long clothes and boots in fields, repellent, avoid sitting on grass, wash after outdoor work.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Nepal notes

Rising in Nepal since the 2015 earthquake, with cases in most districts; peaks from July to October after monsoon field work.

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

Clinical guideline

WHO SEARO rickettsial guidance, ICMR 2015

Sources: SI, NLM MedlinePlus, CDC · Reference · US CDC · Mayo Clinic · EDCD — Epidemiology & Disease Control Division (Nepal)

⚠️ Red-flag signs — seek urgent care

📞 Call 102

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Text: SI summary in its own words (CC BY 4.0) with NLM MedlinePlus public-domain summary; facts checked against WHO fact sheets (CC BY-NC-SA 3.0 IGO, paraphrased with attribution) and Mayo Clinic (linked reference only, no text used); ICD-10 and labels from Wikidata (CC0).

Emergency — call📞 102