Typhus is an infectious disease transmitted by the bite of bacteria-infected fleas or mites. The bacterium Orientia tsutsugamushi is the cause of a specific type of typhus, known as scrub typhus.
This disease is still prevalent in Southeast Asia, China, Japan, India, and northern Australia. If you travel to an area with a high incidence of scrub typhus, you could be exposed to the disease.
What is Scrub Typhus?
Scrub typhus is also known as bush typhus and tropical typhus. This disease is most commonly transmitted in rural or forest areas. Bush typhus is primarily transmitted by mite larvae that suck rodent blood.
If a person is bitten by a larva or animal infected with the Orientia tsutsugamushi bacteria, he is susceptible to bush typhus. Additionally, sleeping on bedding contaminated with these mites could expose you to bush typhus.
Scratching the skin near a mite bite may allow bacteria found in their feces into the blood stream and cause infection.
Signs and Symptoms Scrub Typhus
Scrub typhus symptoms appear approximately 10 days after being bitten by a mite carrying the bacteria. Symptoms of the disease include the following:
- Fever and chills
- Headache
- Body and muscle aches
- Dark scars (scabs) form at which the insect bites
- Mental state changes from confusion to coma
- Enlarged lymph nodes
- The appearance of skin rash
The symptoms of bush typhus may resemble those of other diseases. To confirm the diagnosis, the doctor will perform a series of tests. Serological tests, antibody tests, PCR tests, and cell culture are all possible methods for diagnosing this disease.
However, the doctor will initiate treatment to relieve symptoms prior to the release of test results because laboratory tests are typically a difficult and time-consuming procedure.
Scrub Typhus Treatment
The treatment for scrub typhus or bush typhus involves the use of the antibiotic doxycycline. All ages can use this medication. Antibiotics are most effective when administered as soon as symptoms appear.
This medicine will be given for 7 consecutive days. Bush typhus patients who receive immediate antibiotic treatment generally recover more quickly and do not experience severe symptoms.
Is it Possible to Prevent Scrub Typhus?
Scrub typhus is the most dangerous infectious disease among the typhus strains. Bush typhus, if not treated properly, may damage organs.
Until now, there has been no vaccine to prevent the severity of bush typhus infections. As a precaution, avoid direct contact with flea or mite stings.
If you visit a forest or a rural area, you should wear long-sleeve clothing for protection. Apply insect repellent lotion to areas not covered by skin. If you use sunscreen, apply insect repellent lotion afterwards.
To add extra protection, apply an anti-parasitic medication such as permethrin to your clothing, shoes, and camping equipment.
If you need medical advice or consultation, you can either visit a doctor or make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
Looking for more information about other diseases? Click here!
- dr. Alvidiani Agustina Damanik
MSD Manual. Scrub Typhus. Available from: https://www.msdmanuals.com/professional/infectious-diseases/rickettsiae-and-related-organisms/scrub-typhus
CDC. Scrub Typhus. Available from: https://www.cdc.gov/typhus/scrub/index.html
DermNet. Scrub Typhus. Available from: https://dermnetnz.org/topics/scrub-typhus