THE MERCK MANUAL: The Merck Manual of Diagnosis and Therapymultimedia

Return to Topic

  • Overview of Rickettsial Infections
  • Scrub Typhus

    photo size: small | high

    Scrub Typhus

    Scrub typhus (tsutsugamushi disease) manifests as an eschar at the site of a chigger bite (top). A diffuse macular rash follows the appearance of the eschar (bottom).

    Images courtesy of Yoshiki Taniguchi, MD. From Taniguchi, Y: Eschar, fever, and rash in a 43-year-old man. Dermatology Journal Online 3(2), 1997. Available at