Document Detail

Distribution of eschars on the body of scrub typhus patients: a prospective study.
MedLine Citation:
PMID:  17488895     Owner:  NLM     Status:  MEDLINE    
Eschar is an important finding for the diagnosis of scrub typhus. The IFA test for possible scrub typhus was performed. The presence or absence of eschar was thoroughly examined. Among the 176 scrub typhus cases confirmed by IFA, 162 (92.0%) cases had eschar; 128 patients (79.5%) had eschars on the front of the body. Eschars were primarily detected in males within 30 cm below the umbilicus (19 patients, 35.8%). Distributions on the lower extremities and the front chest above the umbilicus were 22.6% (12 patients) and 20.8% (11 patients), respectively. A different pattern was seen in females. The most prevalent area was the front chest above the umbilicus, which accounted for 40.7% (44 patients) of all the detected eschars. Our study is the first report of a schematic diagram that shows the differences between the males and females with respect to eschar location in scrub typhus patients.
Dong-Min Kim; Kyung Jun Won; Chi Young Park; Ki Dong Yu; Hyong Sun Kim; Tae Young Yang; Ji Hyun Lee; Hyun Kuk Kim; Hyeon-Je Song; Seung-Hyun Lee; Ho Shin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  76     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-09     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  806-9     Citation Subset:  AIM; IM    
Division of Infectious Diseases, Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
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MeSH Terms
Antibodies, Bacterial / blood
Arachnid Vectors*
Bites and Stings / pathology*
Orientia tsutsugamushi / immunology
Prospective Studies
Scrub Typhus / diagnosis,  pathology*
Sex Factors
Reg. No./Substance:
0/Antibodies, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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