TY - JOUR AU - Tshokey, Tshokey AU - Graves, Stephen AU - Tshering, Dorji AU - Phuntsho, Kelzang AU - Tshering, Karchung AU - Stenos, John T1 - Scrub Typhus Outbreak in a Remote Primary School, Bhutan, 2014 T2 - Emerging Infectious Disease journal PY - 2017 VL - 23 IS - 8 SP - 1412 SN - 1080-6059 AB - Scrub typhus in Bhutan was first reported in 2009. We investigated an outbreak of scrub typhus in a remote primary school during August–October 2014. Delay in recognition and treatment resulted in 2 deaths from meningoencephalitis. Scrub typhus warrants urgent public health interventions in Bhutan. KW - Bhutan KW - scrub typhus KW - Orientia tsutsugamushi eschar KW - meningoencephalitis KW - thrombocytopenia KW - tsutsugamushi triangle KW - pediatric KW - vector-borne infections KW - chigger KW - larval mite KW - conjunctival congestion KW - myalgia KW - lymphadenitis KW - rash KW - eschar KW - parasites KW - encephalitis/meningitis DO - 10.3201/eid2308.162021 UR - https://wwwnc.cdc.gov/eid/article/23/8/16-2021_article ER - End of Reference