Antibiotics for treating scrub typhus

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There are no obvious differences between tetracycline, doxycycline, telithromycin, or azithromycin; rifampicin may be better than tetracycline in areas where scrub typhus appears to respond poorly to standard anti-rickettsial drugs.

Scrub typhus is a bacterial infection transmitted by chiggers (mites). The infection causes fever and a typical sore on the skin. Scrub typhus is common in the western Pacific region and many parts of Asia, particularly in agricultural workers and travellers in areas where the disease is common, particularly people camping, rafting, or trekking. Antibiotics (chloramphenicol, tetracycline, and doxycycline) have been used to treat the disease. Resistance to these antibiotics has been reported. This review evaluates antibiotic regimens for treating scrub typhus.

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