Travel-acquired scrub typhus: emphasis on the differential diagnosis, treatment, and prevention strategies.J Travel Med. 2007 Sep-Oct; 14(5):352-5.JT
Scrub typhus should be considered in any febrile patient presenting with a macular rash, a polyadenopathy, an eschar, or a history of environmental exposure in endemic areas. The differential diagnosis includes malaria, typhoid fever, leptospirosis, and arboviroses. Doxycycline 100 mg twice daily for 7 days should be initiated as soon as the disease is suspected.