Which antibiotics are used in the treatment of scrub typhus?

Updated: Apr 19, 2018
  • Author: David J Cennimo, MD, FAAP, FACP, FIDSA, AAHIVS; Chief Editor: Russell W Steele, MD  more...
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Current treatment for scrub typhus is based on antibiotic therapy. Relapses may occur if the antibiotics are not taken for long enough. Agents that have been used include the following:

  • Tetracycline derivatives (standard; especially doxycycline)

  • Macrolides (eg, azithromycin, roxithromycin, and telithromycin)

  • Fluoroquinolones (not currently recommended; results have been mixed)

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