What is the role of medications 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

Antibiotics are necessary to eradicate Orientia tsutsugamushi infection. Doxycycline is of proven efficacy, though resistance has been documented in parts of northern Thailand. Macrolides are equally efficacious. Azithromycin is desirable for pregnant women and for children. Rifampin is often used where doxycycline resistance is present. [72] Telithromycin is a promising new antibacterial agent for patients with scrub typhus.


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