case_images: PMC10926963_01
case_images: Eschar on the left buttock on day 0.
case_images: 1806-9460-spmj-142-04-e2023142-gf01.jpg
case_images: PMC10926963_01_1806-9460-spmj-142-04-e2023142-gf01.jpg
case_images: f1
case_images: On physical examination, the patient's body was found to be covered with small purple skin lesions, and an eschar was present on her left buttock (Figure 1).
case_images: The quantitative polymerase chain reaction (qPCR) test results: The black line shows the amplification of the Orientia tsutsugamushi, DNA in the test sample obtained from the patient's plasma; the red line shows the positive control sample; and the green line shows the negative control sample.
case_images: 1806-9460-spmj-142-04-e2023142-gf02.jpg
case_images: PMC10926963_01_1806-9460-spmj-142-04-e2023142-gf02.jpg
case_images: f2
case_images: The mNGS and qPCR results (Figure 2) confirmed the presence of O. tsutsugamushi, suggesting that scrub typhus was the underlying cause.
case_images: Blisters and ecchymoses on the patient's lower legs on day 8.
case_images: 1806-9460-spmj-142-04-e2023142-gf03.jpg
case_images: PMC10926963_01_1806-9460-spmj-142-04-e2023142-gf03.jpg
case_images: f3
case_images: Scale: E4VTM5). She developed blisters and worsening ecchymoses on the lower legs, scattered bruises, and minor skin lesions all over her body (Figure 3).