{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:48Z","timestamp":1756339428378,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,4,18]]},"published-print":{"date-parts":[[2023,5]]},"DOI":"10.1136\/bcr-2023-255404","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T11:03:24Z","timestamp":1683025404000},"page":"e255404","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Scrub typhus: the clinical significance of the eschar"],"prefix":"10.1136","volume":"16","author":[{"given":"Takashi","family":"Akaike","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Department of Internal Medicine, Kawasaki Municipal Tama Hospital, Kawasaki, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4313-6592","authenticated-orcid":false,"given":"Kosuke","family":"Ishizuka","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Yokohama City University School of Medicine, Yokohama, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Tominaga","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Internal Medicine, Kawasaki Municipal Tama Hospital, Kawasaki, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iori","family":"Motohashi","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Internal Medicine, Kawasaki Municipal Tama Hospital, Kawasaki, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"2025082703502283000_16.5.e255404.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0005838","article-title":"Estimating the burden of scrub typhus: a systematic review","volume":"11","author":"Bonell","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082703502283000_16.5.e255404.2","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.3201\/eid2409.171436","article-title":"Distinguishing Japanese spotted fever and scrub typhus, central Japan, 2004\u2013 2015","volume":"24","author":"Sando","year":"2018","journal-title":"Emerg Infect Dis"},{"key":"2025082703502283000_16.5.e255404.3","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/j.ijid.2021.02.069","article-title":"Descriptive epidemiology of rickettsial infections in Japan: scrub typhus and Japanese spotted fever, 2007-2016","volume":"105","author":"Kinoshita","year":"2021","journal-title":"Int J Infect Dis"},{"key":"2025082703502283000_16.5.e255404.4","doi-asserted-by":"crossref","DOI":"10.1007\/s11606-015-3371-x","article-title":"Scrub typhus (tsutsugamushi disease) presenting as fever with an eschar","volume":"31","author":"Shikino","year":"2016","journal-title":"J Gen Intern Med"},{"key":"2025082703502283000_16.5.e255404.5","article-title":"Antibiotics for treating scrub typhus","volume":"9","author":"El Sayed","year":"2018","journal-title":"Cochrane Database Syst Rev"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:50:27Z","timestamp":1756291827000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,2]]},"published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1136\/bcr-2023-255404"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255404","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}