title: Outbreak of scrub typhus in North India: a re-emerging epidemic.
abstract: Scrub typhus is re-emerging in India. We describe an outbreak of 45 cases from our tertiary care center in north India. This outbreak included city dwellers who had no history of travel to hilly areas. The classical feature of scrub typhus, the eschar, was also noted rarely in these patients. The changing epidemiology of scrub typhus should be kept in mind while attending patients with acute febrile illness.
authors.affiliation: Additional Professor, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India sunilsethi10@hotmail.com.
authors.forename: Sunil
authors.initials: S
authors.lastname: Sethi
authors.affiliation: Senior Resident, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India sunilsethi10@hotmail.com.
authors.forename: Amber
authors.initials: A
authors.lastname: Prasad
authors.affiliation: Assistant Professor, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Manisha
authors.initials: M
authors.lastname: Biswal
authors.affiliation: Senior Resident, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Vinay Kumar
authors.initials: VK
authors.lastname: Hallur
authors.affiliation: Senior Resident, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Mewara
authors.affiliation: Deputy Director, National Center for Disease Control, New Delhi, India.
authors.forename: Navneet
authors.initials: N
authors.lastname: Gupta
authors.affiliation: Senior Resident, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Shipra
authors.initials: S
authors.lastname: Galhotra
authors.affiliation: Senior Resident, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Gagandeep
authors.initials: G
authors.lastname: Singh
authors.affiliation: Associate Professor, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Kusum
authors.initials: K
authors.lastname: Sharma
mesh_terms: D000328:Adult; D021821:Communicable Diseases, Emerging / Q000453:epidemiology; D004196:Disease Outbreaks; D058872:Epidemics; D005260:Female; D005334:Fever; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D012285:Orientia tsutsugamushi / Q000302:isolation & purification*; D012612:Scrub Typhus / Q000453:epidemiology*; D055815:Young Adult
keywords: Orientia tsutsugamushi; outbreaks; scrub typhus