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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Answer

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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