{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:02:58Z","timestamp":1785322978918,"version":"3.55.0"},"reference-count":34,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11,2]]},"abstract":"<jats:p>Identification of mite and tick bite sites provides important clinical information. The predominant mite species in Korea associated with scrub typhus are <jats:italic>Leptotrombidium pallidum<\/jats:italic> and <jats:italic>Leptotrombidium scutellare<\/jats:italic>. The most abundant tick species is <jats:italic>Haemaphysalis longicornis<\/jats:italic>. To date, there has been no comparative study on preferred bite sites between mites and ticks in humans. This study included a review of medical records and a field study. For mite bite sites, eschars were checked on 506 patients with scrub typhus, confirmed by indirect immunofluorescence assay or nested polymerase chain reaction on the 56-kDa type-specific antigen gene of <jats:italic>Orientia tsutsugamushi<\/jats:italic>. Tick bite sites were identified and marked on a diagram for 91 patients who experienced tick bites within the previous year through a field epidemiological investigation. The mite and tick bite sites in Koreans were compared. The most frequently observed mite bite sites were the anterior chest, including the axillae (29.1%) and the abdominal region, including the inguinal area (26.1%). Tick bite sites were most frequent on the lower extremities (33.0%), followed by the abdominal region, including the inguinal area (26.4%), and upper extremities (26.4%). The distribution was significantly different between mite and tick bite sites (<jats:italic>P<\/jats:italic> &lt; 0.001). There was a statistically significant difference in the mite bite (<jats:italic>P<\/jats:italic> = 0.001), but not tick bite sites (<jats:italic>P<\/jats:italic> = 0.985), between men and women. This is the first report on the differences between tick and mite bite sites, and may help clinicians reach a rapid diagnosis of mite- or tick-borne infection.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0186","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T02:48:21Z","timestamp":1474339701000},"page":"1021-1025","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of Preferred Bite Sites Between Mites and Ticks on Humans in Korea"],"prefix":"10.4269","volume":"95","author":[{"given":"Mi-Sun","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choon-Mee","family":"Kim","sequence":"additional","affiliation":[{"name":"Premedical Science, College of Medicine, Chosun University, Gwangju, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na Ra","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi Ah","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun-Kuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Won Sup","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee-Jung","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Seoul Metropolitan Government Seobuk Hospital, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong-Heon","family":"Wie","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. Vincent's Hospital, School of Medicine, The Catholic University of Korea, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Hur","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yeungnam University, College of Medicine, Daegu, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"J Korean Geogr Soc","first-page":"863","article-title":"Time-spatial distribution of scrub typhus and its environmental ecology","volume":"42","author":"Kong","year":"2007"},{"key":"ref2","series-title":"J Korean Med Sci","first-page":"227","article-title":"Current status of tsutsugamushi disease in Korea","volume":"10","author":"Chang","year":"1995"},{"key":"ref3","series-title":"Wilderness Environ Med","first-page":"4","article-title":"Tick attachment sites","volume":"19","author":"Gunduz","year":"2008"},{"key":"ref4","series-title":"Acta Trop","first-page":"121","article-title":"Distribution of rickettsioses in Oceania: past patterns and implications for the future","volume":"143","author":"Derne","year":"2015"},{"key":"ref5","series-title":"Emerg Infect Dis","first-page":"1892","article-title":"Severe fever with thrombocytopenia syndrome, South Korea, 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