Typhus Scrub Tsutsugamushi

Tsutsugamushi, like epidemic typhus, has been known in the Orient for centuries. In 1810 the Japanese Hakuju Hashimoto described a tsutsuga (disease) along the tributaries of the Shinano River. A similar disease, thought to be carried by mites, or mushi in Japanese, had also been known at least since the sixteenth century in southern China. Sometimes called Japanese flood fever, tsutsugamushi is more commonly known in the United States as scrub typhus — a name used widely by English-speaking troops during World War II. The disease exhibits characteristic typhuslike symptoms of high fever, headache, duration of 2 weeks, and a widespread rash.

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