A bite obtained in the bush

ISN’T email a wonderful thing? See the one I received (box above). It was 24 June 2008, and Jodi Rowley, a young scientific colleague of mine, working in a remote area of Vietnam, was reaching out desperately for advice.

The provisional diagnosis was easy: fever, malaise, headache, photophobia, regional lymphadenopathy and eschar (Figure 1) together with her location and activities (bush work) means scrub typhus until proven otherwise.

The outcome was good. Jodi obtained a course of doxycycline from a local clinic. Response was

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