title: Distribution of eschars on the body of scrub typhus patients: a prospective study.
abstract: 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.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea. drongkim@chosun.ac.kr
authors.forename: Dong-Min
authors.initials: DM
authors.lastname: Kim
authors.forename: Kyung Jun
authors.initials: KJ
authors.lastname: Won
authors.forename: Chi Young
authors.initials: CY
authors.lastname: Park
authors.forename: Ki Dong
authors.initials: KD
authors.lastname: Yu
authors.forename: Hyong Sun
authors.initials: HS
authors.lastname: Kim
authors.forename: Tae Young
authors.initials: TY
authors.lastname: Yang
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Lee
authors.forename: Hyun Kuk
authors.initials: HK
authors.lastname: Kim
authors.forename: Hyeon-Je
authors.initials: HJ
authors.lastname: Song
authors.forename: Seung-Hyun
authors.initials: SH
authors.lastname: Lee
authors.forename: Ho
authors.initials: H
authors.lastname: Shin
mesh_terms: D000328:Adult; D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood; D001096:Arachnid Vectors; D001733:Bites and Stings / Q000473:pathology*; D002681:China; D005260:Female; D006801:Humans; D008297:Male; D008925:Mites; D012285:Orientia tsutsugamushi / Q000276:immunology; D011446:Prospective Studies; D012612:Scrub Typhus / Q000175:diagnosis / Q000473:pathology*; D012737:Sex Factors
chemical_list: D000907:Antibodies, Bacterial