AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?
Morsy, T., MOHAMAD, M., EL BAHNASAWY, M., El HADIDY, H., ALATTAR, M., ELSHERIF, A. (2025). AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?. EKB Journal Management System, 55(1), 37-46. doi: 10.21608/jesp.2025.424999
Tosson A. Morsy; MOHSEN RAGHEB MOHAMAD; MAMDOUH M. EL BAHNASAWY; HAITHAM A. El HADIDY; MOHAMED BAKR F. ALATTAR; AMR ALY I. ELSHERIF. "AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?". EKB Journal Management System, 55, 1, 2025, 37-46. doi: 10.21608/jesp.2025.424999
Morsy, T., MOHAMAD, M., EL BAHNASAWY, M., El HADIDY, H., ALATTAR, M., ELSHERIF, A. (2025). 'AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?', EKB Journal Management System, 55(1), pp. 37-46. doi: 10.21608/jesp.2025.424999
Morsy, T., MOHAMAD, M., EL BAHNASAWY, M., El HADIDY, H., ALATTAR, M., ELSHERIF, A. AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?. EKB Journal Management System, 2025; 55(1): 37-46. doi: 10.21608/jesp.2025.424999

AN OVERVIEW ON SCRUB TYPHUS (MITE-BORNE TYPHUS): IS IT A NEGLECTED ZOONOSIS DISEASE IN EGYPT?

Journal of the Egyptian Society of Parasitology
Article 6, Volume 55, Issue 1, April 2025, Page 37-46  XML PDF (712.55 K)
Document Type: Original Article
DOI: 10.21608/jesp.2025.424999
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Authors
Tosson A. Morsy1; MOHSEN RAGHEB MOHAMAD2; MAMDOUH M. EL BAHNASAWY3; HAITHAM A. El HADIDY4; MOHAMED BAKR F. ALATTAR5; AMR ALY I. ELSHERIF6
1Department of Parasitology, Faculty of Medicine, Ain Shams University, Cairo, 11566, Egypt
2Department of Gastroenterology, Air Forces General Hospital, Cairo, 11779, Egypt
3Department of Tropical Medicine and Fever, Military Medical Academy, Cairo, 11291, Egypt
4Department of Public Health, Military Medical Academy, Cairo, 11291, Egypt
5Department of Public Health, Military Medical Academy, Cairo, 11291, Egypt
6Department of Clinical Pathology, Military Medical Academy, Cairo, 11291, Egypt
Abstract
Scrub typhus or bush typhus is a mite-borne infectious disease caused by Orientia tsutsugamu- 
shi (formerly Rickettsia tsutsugamushi), a gram-negative coccobacillus antigenic distinct from trickett
sia typhus group. Infection begins insidiously with headache, anorexia, and malaise, or start abruptly 
with chills, severe headache, myalgias and high fever or pneumonitis, meningoencephalitis, jaundice
meningitis and/or meningo-encephalitis or even spontaneous pregnancy risky outcomes. An Escher or 
dark rash may develop in a subset of patients. Severe complicated infection can range from mild and 
signs symptoms to multi-organ systemic failure in elderly delayed treated patients. Diagnosis includes 
serology, biopsy, culture, and PCR. Scrub typhus as anon-specific clinical disease must be differenti
ated from other vector-borne diseases as malaria, dengue, chikungunya, other rickettsia diseases, and 
insect bites as well as leptospirosis and enteric fever as typhoid. 
Keywords
Chigger bites; Pathogenesis; Diagnosis; Miss-diagnoses; Treatment; Overview
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