title: Scrub typhus infection in pregnancy: the dilemma of diagnosis and treatment in a resource-limited setting.
abstract: To save the life of both mother and fetus, the risks and benefits of the few antibiotics considered effective in the treatment of severe scrub typhus require consideration. In this case, chloramphenicol treatment averted maternal but not fetal mortality. Evidence-based guidelines appropriate for resource-limited endemic areas are required.
authors.affiliation: Shoklo Malaria Research Unit Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical Medicine Mahidol University Mae Sot Thailand.
authors.forename: Wanitda
authors.initials: W
authors.lastname: Watthanaworawit
authors.affiliation: Shoklo Malaria Research Unit Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical Medicine Mahidol University Mae Sot Thailand.
authors.forename: Edyta
authors.initials: E
authors.lastname: Kolakowska
authors.affiliation: Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical Medicine Mahidol University Bangkok Thailand.
authors.forename: Borimas
authors.initials: B
authors.lastname: Hanboonkunupakarn
authors.affiliation: Shoklo Malaria Research Unit Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical Medicine Mahidol University Mae Sot Thailand.
authors.forename: Clare
authors.initials: C
authors.lastname: Ling
authors.affiliation: Shoklo Malaria Research Unit Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical Medicine Mahidol University Mae Sot Thailand; Centre for Tropical Medicine Nuffield Department of Medicine University of Oxford Oxford UK.
authors.forename: Rose
authors.initials: R
authors.lastname: McGready
keywords: Acute undifferentiated fever; Orientia tsutsugamushi; maternal mortality; scrub typhus; sepsis; stillbirth