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 www.dermatology.cdlib.org.