Definition: an acute infectious disease, caused by Rickettsia tsutsugamushi and transmitted by the mites Trombicula akamushi and T. deliensis, which occurs in harvesters of hemp in some parts of Southeast Asia including Japan; characterized by fever, painful swelling of the lymphatic glands, a small blackish scab on the genitals, neck, or axilla, and an eruption of large dark red papules.
Synonym(s): akamushi disease, flood fever, inundation fever, island disease, island fever, Japanese river fever, kedani fever, mite typhus, scrub typhus, shimamushi disease, tropic typhus, tsutsugamushi fever
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