What is scrub typhus? A disease caused by a bacteria called Orientia tsutsugamushi  Spread to people through bites of infected chiggers (larval mites)  Most common symptoms: fever, headache, body aches, and sometimes rash

Tropical and subtropical areas of Asia, Australia, and the Pacific Islands  Most common in Southeast Asia

Through the bite of an infected chigger  Chiggers are tiny mites that live in moist, shady areas, such as forests, grasslands, and gardens They attach to the skin and feed on blood

 Fever Headache  Body aches  Rash  Fatigue  Enlarged lymph nodes Conjunctivitis

 Pneumonia  Encephalitis (inflammation of the brain)  Myocarditis (inflammation of the heart muscle) Kidney failure  Death

 Blood test  Culture of the bacteria from a skin biopsy  Serology (blood test to detect antibodies to the bacteria

 Antibiotics, such as doxycycline or azithromycin Early treatment is essential to prevent complications

 Avoid contact with chiggers  Wear long sleeves and pants when walking in areas where chiggers are found Use insect repellent  Apply permethrin to clothing and gear

Scrub typhus is a serious disease, but it is treatable with antibiotics.  Early diagnosis and treatment are essential to prevent complications and death