Scrub Typhus
A 65-year-old woman was admitted with fever and rash. On physical examination, an erosion 1.5 cm by 1.5 cm with a torn bulla was observed in the right axilla, and a generalized, nonpruritic, maculopapular rash was found over the whole body. A 65-year-old woman was admitted with fever and rash that h...
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| Published in: | The New England journal of medicine Vol. 373; no. 25; p. 2455 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Boston
Massachusetts Medical Society
17-12-2015
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | A 65-year-old woman was admitted with fever and rash. On physical examination, an erosion 1.5 cm by 1.5 cm with a torn bulla was observed in the right axilla, and a generalized, nonpruritic, maculopapular rash was found over the whole body.
A 65-year-old woman was admitted with fever and rash that had developed 3 days and 1 day before admission, respectively. On physical examination, an erosion 1.5 cm by 1.5 cm with a torn bulla was observed in the right axilla, and a generalized, nonpruritic, maculopapular rash was found over the whole body (Panels A and B). The daily appearance of eschar was evaluated by dermoscopy, and routine photography was performed from the first through the fourth hospital day (Panels C through F). Over time, the center of the eschar developed a black crust covering the ulcer, which was surrounded by . . . |
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| ISSN: | 0028-4793 1533-4406 |
| DOI: | 10.1056/NEJMicm1503639 |