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Epidemiology of scrub typhus and the eschars patterns in South Korea from 2008 to 2012.
[scrub typhus]
In
South
Korea
,
scrub
typhus
is
the
most
common
acute
febrile
illness
in
autumn
.
We
analyzed
scrub
typhus
cases
reported
from
2008
to
2012
to
describe
the
epidemiology
of
scrub
typhus
as
well
as
eschar
patterns
.
A
total
of
30
,
478
cases
were
reported
from
2008
to
2012
;
the
incidence
rates
were
higher
in
the
southern
and
western
regions
of
South
Korea
.
The
common
clinical
symptoms
of
confirmed
scrub
typhus
cases
from
2010
to
2012
were
fever
/
chills
(
95
.
2
%
)
,
eschars
(
78
.
9
%
)
,
and
myalgia
(
61
.
7
%
)
.
The
primary
sites
of
eschars
were
the
lower
extremities
(
19
.
0
%
)
,
abdomen
/
waist
(
13
.
4
%
)
,
and
axilla
(
11
.
5
%
)
in
men
and
the
shoulder
/
frontal
chest
(
15
.
1
%
)
,
lower
extremities
(
14
.
5
%
)
,
and
abdomen
/
waist
(
13
.
6
%
)
in
women
.
Regardless
of
gender
,
eschars
tended
to
be
more
on
the
lower
extremities
among
the
leisure
activities
group
.
Among
the
occupational
farm
work
group
,
who
usually
lived
in
rural
areas
,
eschars
appeared
most
frequently
on
the
abdomen
/
waist
in
men
and
on
the
shoulder
/
frontal
chest
in
women
.
Eschar
patterns
were
influenced
by
gender
and
activities
.
These
results
could
facilitate
the
prevention
of
scrub
typhus
and
clarify
the
current
status
of
scrub
typhus
in
South
Korea
.
Diseases
Validation
Diseases presenting
"primary sites"
symptom
carcinoma of the gallbladder
esophageal squamous cell carcinoma
scrub typhus
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