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Eschar: A pathognomonic sign of scrub typhus

Eschar: A pathognomonic sign of scrub typhus

MED talks with Dr K K Aggarwal

A painless papule often appears at the site of the infecting mite bite followed by central necrosis, which in turn leads to the formation of a characteristic eschar with a black crust.

Dr K K Aggarwal
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI

One or multiple eschars may develop before the onset of systemic symptoms. The frequency of eschars in patients with scrub typhus is highly variable (46-88%).

Eschars may be overlooked if a careful clinical exam (including inspection of the genitalia and skin folds under the breast) is not performed.

Eschar, genitalia, skin folds under the breast, sign of scrub typhus, MED talks with Dr K K Aggarwal,

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