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September 1952


Author Affiliations

From the Eye Service, Department of Surgery, Western Reserve University School of Medicine.

AMA Arch Ophthalmol. 1952;48(3):313-321. doi:10.1001/archopht.1952.00920010321006

SCRUB typhus, tsutsugamushi fever, or Japanese river fever, is a mite-borne acute febrile disease caused by the Rickettsia orientalis. It is endemic in Japan, China, Indo-China, Burma, Malaya, India, East Indies, New Guinea, Solomon Islands and Queensland, Australia. During World War II numerous cases were encountered among United States armed services personnel in Burma and Assam and in the New Guinea area. Scheie,1 in 1945, published the first report on the ocular changes in scrub typhus. These ocular findings are particularly striking and may be of diagnostic aid in the early stages of the disease.

With the recent increased activity of the armed services in the Far-Pacific area, it would seem desirable to call further attention to the ocular findings in scrub typhus, as they have been described by Scheie in his Burma studies. It is the purpose of this paper to present evidence of similar ocular involvement in

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