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What are the early symptoms of 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 from a small village near a forested area and have suffered from a high fever for five days. A dark spot on my arm is not going away, and the fever is not breaking. My entire body hurts, and I am feeling very weak. The local medical shop provided me with some pills, but nothing seemed to be working. Someone mentioned that it could be scrub typhus, as many people in our village contracted it last year. What medication do you recommend? Is this something serious? Can it be treated with pills, or should I travel to the city for treatment?

Kindly help.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Yes, this condition could be scrub typhus, as it commonly occurs in forested areas. Kindly share images for further clarity. You will need to take antibiotics. I am prescribing medications assuming that you are not allergic to any medicines. Please continue to monitor your body temperature and take these medications as prescribed.

Prescription:

  1. Doxycycline 100 mg tablet (every 12 hours) for seven days (after meals).

  2. Paracetamol 650 mg tablet (every 8 hours for seven days after meals).

  3. Pantoprazole 40 mg tablet once daily (before meals) for seven days.

    Please visit a doctor if your body temperature remains persistently high, as you may require intravenous treatment.

    Please let me know if you want some help.

    Thank you.

Medically reviewed byiCliniq medical review team

Published At April 2, 2025
Reviewed AtApril 4, 2025

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