{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:04:55Z","timestamp":1777907095068,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T00:00:00Z","timestamp":1468886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>Eschar in scrub typhus aids in early diagnosis and institution of appropriate therapy; however, the eschar positivity rates vary greatly in endemic regions. Multiple eschars in scrub typhus are a rare presentation. Our patient presented with fever and multiple eschars and was empirically started on doxycycline. Nested polymerase chain reaction from all the four eschars and from EDTA blood were positive for 56-kDa type-specific antigen which is specific for Orientia tsutsugamushi. The patient recovered completely after 7 days of antibiotic treatment. He was from an area where scrub typhus was not observed previously. An eschar in an acute febrile patient from the \u201ctsutsugamushi triangle\u201d is a valuable sign in scrub typhus diagnosis. A search for multiple eschars in scrub typhus must be made by clinicians.<\/jats:p>","DOI":"10.1177\/0049475516658400","type":"journal-article","created":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T02:14:28Z","timestamp":1468462468000},"page":"67-69","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Multiple eschars in scrub typhus: a case report"],"prefix":"10.1177","volume":"47","author":[{"given":"Munegowda","family":"Koraluru","sequence":"first","affiliation":[{"name":"Lecturer, Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manideep","family":"Nandigam","sequence":"additional","affiliation":[{"name":"Intern, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indira","family":"Bairy","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Microbiology, MMMC, Manipal Campus, Manipal University, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudha","family":"Vidyasagar","sequence":"additional","affiliation":[{"name":"Professor and Unit Head, Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muralidhar","family":"Varma","sequence":"additional","affiliation":[{"name":"Professor and Unit Head, Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,19]]},"reference":[{"key":"bibr1-0049475516658400","doi-asserted-by":"publisher","DOI":"10.1177\/0049475514530688"},{"key":"bibr2-0049475516658400","doi-asserted-by":"publisher","DOI":"10.2149\/tmh.2013-33"},{"key":"bibr3-0049475516658400","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2007.76.806"},{"key":"bibr4-0049475516658400","doi-asserted-by":"publisher","DOI":"10.4103\/0022-3859.118033"},{"key":"bibr5-0049475516658400","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.02.009"},{"key":"bibr6-0049475516658400","doi-asserted-by":"publisher","DOI":"10.1111\/1348-0421.12268"},{"key":"bibr7-0049475516658400","doi-asserted-by":"publisher","DOI":"10.1086\/381894"},{"key":"bibr8-0049475516658400","doi-asserted-by":"publisher","DOI":"10.1086\/650172"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475516658400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475516658400","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475516658400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:06Z","timestamp":1777642206000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475516658400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,19]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1177\/0049475516658400"],"URL":"https:\/\/doi.org\/10.1177\/0049475516658400","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,19]]}}}