Emerging Infectious Disease ISSN: 1080-6059

Endemic Scrub Typhus–like Illness, Chile

M. Elvira Balcells, Ricardo Rabagliati, Patricia García, Helena Poggi, David Oddó, Marcela Concha, Katia Abarca, Ju Jiang, Daryl J. Kelly

, Allen L. Richards, and Paul A. Fuerst

Author affiliations: Author affiliations: School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile (M.E. Bacells, R. Rabagliati, P. García, H. Poggi, D. Oddó, M. Concha, K. Abarca); Naval Medical Research Center, Silver Spring, Maryland, USA (J. Jiang, A.L. Richards); The Ohio State University, Columbus, Ohio, USA (D.J. Kelly, P.A. Fuerst)

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Figure 2

Results of biopsy analysis of tissue sample from eschar on the left leg of patient admitted for treatment of scrub typhus–like symptoms, Chile. A) Leukocytoclastic vasculitis. Hematoxylin and eosin stained; original magnification ×200, inset ×400. B) Endothelial cell, showing nucleus (N) within the cytoplasm (C, inset). Arrows show similar round and oval organisms, electron-dense, surrounded by electron-lucent halo of rickettsial type microorganisms. Electron microscopy; original magnification ×

Figure 2. Results of biopsy analysis of tissue sample from eschar on the left leg of patient admitted for treatment of scrub typhus–like symptoms, Chile. A) Leukocytoclastic vasculitis. Hematoxylin and eosin stained; original magnification ×200, inset ×400. B) Endothelial cell, showing nucleus (N) within the cytoplasm (C, inset). Arrows show similar round and oval organisms, electron-dense, surrounded by electron-lucent halo of rickettsial type microorganisms. Electron microscopy; original magnification ×15,000, inset ×20,000.

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