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Do red, patchy rashes on my chest and back suggest scrub typhus?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 37-year-old environmental scientist who recently spent three weeks conducting research in the jungles. A few days after returning home, I developed a fever, chills, and body aches. Yesterday, I noticed a small sore with a dark center on my arm and started feeling increasingly weak. I have also developed a red, patchy rash on my chest and back. Could this be scrub typhus or another infection related to my trip? What should I do next, and is this something serious?

Kindly help.

Answered by Dr. Christian Chisom Nwamadi

Education:

MBBS

Professional Bio:

Dr. Christian Chisom Nwamadi is a dedicated general practitioner and family physician with a strong focus on primary care and preventive medicine. He is skilled in diagnosing and managing a wide range of medical conditions across all age groups. Dr. Nwamadi is committed to delivering patient-centered care with compassion, clinical accuracy, and attention to individual health needs.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

From the symptoms listed above, fever, body chills, headache, small spores with a dark center, and your recent trip, we suspect we might be dealing with Lyme's disease.

This is a bacterial infection caused by the bite of a Borrelia burgdorferi.

The symptoms include:

  1. Rash (erythema migrans).

  2. Fever.

  3. Headache.

  4. Fatigue.

  5. Muscle and joint pain.

I advise you to do the following:

  1. Use of antibiotics like capsules or tablets, such as Doxycycline (Tetracycline).

  2. Over-the-counter pain relievers.

The preventive measure to be used

  1. Use protective clothing when going to areas with tick habitat.

  2. Use insect repellent.

The probable causes include:

  1. Borrelia burgdorferi.

I suggest you do the following test:

  1. ELISA (Enzyme-Linked Immunosorbent Assay)

I advise you to come for a follow-up in two weeks.

Kindly consult a specialist doctor, talk with them, and take medications with their consent.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At June 14, 2025
Reviewed At June 17, 2025

Education:

MBBS

Professional Bio:

Dr. Christian Chisom Nwamadi is a dedicated general practitioner and family physician with a strong focus on primary care and preventive medicine. He is skilled in diagnosing and managing a wide range of medical conditions across all age groups. Dr. Nwamadi is committed to delivering patient-centered care with compassion, clinical accuracy, and attention to individual health needs.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Christian Chisom Nwamadi is a dedicated general practitioner and family physician with a strong focus on primary care and preventive medicine. He is skilled in diagnosing and managing a wide range of medical conditions across all age groups. Dr. Nwamadi is committed to delivering patient-centered care with compassion, clinical accuracy, and attention to individual health needs.

This doctor is not available for online consultations on the platform anymore.

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