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Scrub Typhus - Re-emergence in the Maldives

Scrub typhus is an acute, febrile, illness that was first described by the Chinese about 2000 years ago. This illness is caused by Orientia tsutsugamushi, an obligate intracellular gram-negative bacterium, which was first isolated in 1930. Humans are accidental hosts in this zoonotic disease.

The term scrub is used because of the type of vegetation that harbors the vector. The disease is endemic in the "tsutsugamushi triangle," which extends from northern Japan and far-eastern Russia in the north, to northern Australia in the south, and to Pakistan and Afghanistan in the west.

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