• The Korean Journal of Zoology
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• v.36 no.3
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• pp.408-415
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• 1993

Studies on seasonal prevalence and geographical distribution of chigger mites were carried out during the period of August 1990-December 1991, and the results are summarized as follows. From total 325 field rodents collected during the study period, 15,679 chiggers were obtained and 12 species of 4 genera were identified. Leptotrombidium pallidum, a vector species of tsutsugamushi disease in Korea was the predominant species and distributed throughout the country except southern part of Korea, whereas L. scutellare, known also as a vector species was distributed mainly in southern part of Korea. The distribution of chigger mites was strongly localized by species, showing different predominant species at each locality during the same season. The predominant species were L. pallidum(92.3%) at Dorai-5ri, Wondang-ub, Neotrombicula kwangneungensis (44.7%) at Sanjung-ri, Pochun-gun, N. tamiyai (55.1%) at Changgok-ri, Paju-gun, L. orientale (55.2%) at Jangsin-ri, Iksan-gun, and L. scutellare (47.6%) at Sinyong-dong, Iri-si. Study on seasonal prevalence of L. pallidum chiggers resulted that they started appearing in September, showed the peak in November, almost disappeared during the period of December-March, reappeared in April-May showing a small peak, and again almost disappeared until September. L. scutellare showed the peak in October, sharply decreased thereafter, and disappeared during the period of January-September.

• Journal of the Korean Geographical Society
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• v.42 no.6
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• pp.863-878
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• 2007

The time-spatial distribution of Scrub typhus and its relationship with environmental ecology, such as climate, and habitat change are analyzed in respect of the geography of disease. Scrub typhus was firstly reported in 1951, and reemerged in 1986 mainly in southwestern Korea. later it has sharply increased and spreaded out toward whole country in 1998 and 2004, except mid-eastern mountainous region. Hwasung City is the typical example of sudden upsurge of Scrub typhus. High incidence of Scrub typhus patients might due to elevated temperature and decreased precipitation during the summer, as well as milder autumn. Sharp increase of Scrub typhus patients at rural area since 1980's might also be the result of the rapid changes of land use pattern, which eventually have contributed for the active development of dense vegetation and propagation of chigger mites around cultivated land.

• The Korean Journal of Zoology
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• v.2 no.1
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• pp.17-28
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• 1959

In Korea ,little attention was paid to chiggers until 1950 so only to reports on four species of chiggers were pulished before Korean War. Since 1950 (beginning of Korean War), a marked progress in the study of chiggers has been made in connection with investigations of Epidemic hemorrhagic fever occurring among the United Nations troops which was suspected as a chigger-borne infectious disease and the first report of tsutsugamushi disease in Korea called natives attention to chiggers as the vector mites of this newly known disease in Korea. This paper is mostly based on specimens of author's collections from 3269 Rodentia Insectivora, 9 Chiroptera, 24 Aves , 35 Amphibia and 3 Reptilia during the time from December 1955 to December 1956 but four species were introduced here from works of others . There are reported here five species of chiggers previously known only out of Korea and a new species also. This new species was collected by author but Lipovsky informed his colleague had collected the same one in Korea and they would publish it as new one in near future. This is the reason of describing the new species without specific name . Of course, this paper is incomplete in view of the geographic distribution, seosonal change and host relation etc, but will serve as a brief summary of the chiggers fauna of Korea up to the present. This species described here are as follows : Gahrliepia brennani var. ventralis Neoschongastia posekanyi Euschongastia kigtajimai Euschongastia miyagawai Euschongastia koreaensis Trombicula nagayoi Trombicula japonica Trombicula pomeranzevi Trombicula mitamurai Trombicula tamiyai Trombicula palpalis Trombicula orientalis Trombicula pallida Trombicula scutellaris Trobmicula miotis Trombicula hiranumai Trombicula sp. Trombicula hiranumai Trombicula sp. Trombicula subintermedius Shunsennia tarsalis . Euschongastia ikaoensis . Trombicula koomori Trombicul subakanushi

• Parasites, Hosts and Diseases
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• v.59 no.1
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• pp.1-8
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• 2021

Leptotrombidium scutellare is one of the 6 main vectors of scrub typhus in China. It has been found in more than 15 provinces of China. Especially in Yunnan, it was found to be mainly distributed in some mountainous areas with high altitude, low temperature and low precipitation. Rodents and some other small mammals were the most common hosts of L. scutellare. To date, more than 40 host species of L. scutellare have been recorded with very low host specificity, and the main hosts varied in different geographical regions. L. scutellare had a strong resistance against the cold environment, and the temperature and humidity were 2 important factors affecting its growth and development. Among different individuals of their rodent hosts, L. scutellare mites often showed an aggregated distribution pattern, which reflected the interspecific cooperation of the mites. The chromosome karyotype of L. scutellare was 2n=16 and all the 8 pairs of chromosomes were short rod-shaped with metacentric or sub-metacentric types. The isozyme spectrum supported that L. scutellare, L. deliense and L. rubellum were in the same species group. Based on the natural infection, experimental transmission and epidemiological evidence, L. scutellare has been eventually confirmed as the second major vector of scrub typhus in China, which is second only to L. deliense.

• Tuberculosis and Respiratory Diseases
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• v.63 no.4
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• pp.378-381
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• 2007

Tsutsugamushi disease (Scrub typhus) is an acute, febrile illness caused by Orientia tsutsugamushi, which is transmitted to humans through chigger bites. Leptospirosis, a febrile disease caused by various pathogenic Leptospira, and is acquired by exposure to contaminated water and soil. Both diseases have been the most common acute febrile diseases in the autumn in Korea for many years. Concomitant leptospirosis and scrub typhus is quite rare. We report a case of a coinfection with leptospirosis and scrub typhus in a 51-year-old male who presented with fever, abdominal pain and acute dyspnea. The patient was diagnosed with as acalculous cholecystitis, acute respiratory distress syndrome, and septic shock caused by the infection. This is the first case report of a coinfection with leptospirosis and scrub typhus in Korea.

• Tuberculosis and Respiratory Diseases
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• v.61 no.4
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• pp.389-393
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• 2006

Tsutstugamushi disease is a major febrile disease that generally occurs in the fall in Korea with hemorrhagic fever with renal syndrome and leptospirosis. This disease is often accompanied by interstitial pneumonia, acute renal failure and liver failure. The causative agent, namely Orientia tsutsugamushi, is transmitted to humans through the bite of a laval trombiculid mite, which is commonly known as a chigger. A 78 year old man was admitted in October 2004 with intractable fever and a drowsy mentality. Two weeks earlier, he visited a private clinic complaining of a simple skin rash. He was treated with antihistamine and steroid, but his symptoms were aggravated and he was referred to our hospital. His physical examination and laboratory findings showed a septic shock status. The maculopapular rash had spread over his face, chest, abdomen and extremities. Eschar was observed in lower back area but it was too difficult to distinguish it from other skin rashes. His chest X-ray appeared as diffuse nodular patchy consolidations in the bilateral lung parenchyme. He was treated with a mechanical ventilator and doxycycline under th suspicion of Tsutstugamushi disease. However, he suffered multiorgan failure accompanied by acute respiratory distress syndrome, acute renal failure and acute hepatitis. He was treated in the intensive care unit for approximately 12 weeks and his general condition was recovered.

• Journal of Environmental Health Sciences
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• v.42 no.1
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• pp.41-52
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• 2016

Objectives: Scrub typhus is one of the most prevalent vector-borne diseases. It is caused by Orientia tsutsugamushi, which is transmitted when people are bitten by infected chigger mites. This study aims at quantifying the association between the incidence of scrub typhus and meteorological factors in Jeollabuk-do Province over the period 2001-2015. Methods: Reported cases of scrub typhus were collected from the website of the Disease Web Statistical System supported by the Korea Centers for Disease Control and Prevention (KCDC). Simultaneous meteorological data, including temperature, rainfall, relative humidity, and sunshine duration were collected from the website of the National Climate Data Service System by the Korea Meteorological Administration. Correlation and regression analyses were applied to identify the association between the incidence of scrub typhus and meteorological factors. Results: The general epidemiological characteristics of scrub typhus in Jeollabuk-do Province were similar to those nationwide for sex, age, and geographical distribution. However, the annual incidence rate (i.e., cases per 100,000) of scrub typhus in Jeollabuk-do Province was approximately four times higher than all Korea's 0.9. The number of total cases was the highest proportion at 13.3% in Jeonbuk compared to other regions in Korea. The results of correlation analysis showed that there were significant correlations between annual cases of scrub typhus and monthly data for meteorological factors such as temperature and relative humidity in late spring and summer, especially in the case of temperature in May and June. The results of regression analysis showed that determining factors in the regression equation explaining the incidence of scrub typhus reached 46.2% and 43.5% in May and June. Using the regression equation, each 1oC rise in the monthly mean temperature in May or June may lead to an increase of 38 patients with scrub typhus compared to the annual mean of incidence cases in Jeollabuk-do Province. Conclusion: The result of our novel attempts provided rational evidence that meteorological factors are associated with the occurrence of scrub typhus in Jeollabuk-do. It should therefore be necessary to observe the trends and predict patterns of scrub typhus transmission in relation to global-scale climate change. Also, action is urgently needed in all areas, especially critical regions, toward taking steps to come up with preventive measures against scrub typhus transmission.

• Korean Journal of Clinical Laboratory Science
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• v.56 no.1
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• pp.59-65
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• 2024

This study examined the fecal samples of striped field mice (Apodemus agrarius coreae) captured in Jeju Special Self-Governing Province. Fecal samples, including the colon and other intestinal organs, were collected and subjected to aerobic culture to investigate the distribution of intestinal microorganisms. Gram staining of the aerobic cultured bacterial colonies from 36 fecal samples revealed the predominant presence of gram-negative bacilli in all samples. Among the 36 samples, gram-negative bacilli were identified in 36 strains (100%), gram-positive cocci in 21 strains (58.3%), and gram-positive bacilli in 15 strains (41.7%), while no gram-negative cocci were observed. The gram-negative bacilli cultured from the 36 samples were identified using the Vitek 2 system, and all were determined to be Escherichia coli (E. coli) strains. In addition, one sample was concurrently identified with E. coli and Enterobacter cloacae strains. The antimicrobial susceptibility testing for the identified E. coli strains did not include all antibiotics, but one strain exhibited intermediate resistance to cefoxitin. No pathogenic bacteria were present in the fecal samples of the scrub typhus-infected rodents, which are vectors for chigger-borne diseases affecting humans and animals.

• Pediatric Infection and Vaccine
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• v.9 no.2
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• pp.175-181
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• 2002

Purpose : Scrub typhus(tsutsugamushi disease) is a febrile disease characterized by fever, rash, eschar, lymphadenopathy. Therapy with tetracycline(doxycycline) or chloramphenicol is currently recommended for the treatment for scrub typhus. But there are limitations in usage a tetracycline(doxycycline) for scrub typhus in the children. Recently, there was a report that azithromycin, a macrolide antibiotic was used for scrub typhus in pregnant woman successfully. So we evaluated the effectiveness of the Clarithromycin, other a macrolide antibiotic, for scrub typhus. Methods : Seven patients with scrub typhus at department of internal medicine and three patients with scrub typhus at department of pediatrics Masan Fatima Hospital were involved for this study. A serologic diagnosis for scrub typhus were performed by use of passive hemagglutination test. Clarithromycin(Abbott Laboratories, North Chicago, IL, USA) was administrated orally in a daily dose of 500 mg for adult patients and 15 mg/kg/bid/day for pediatric patients. Results : There were 7 cases of adult patients, varying from 28 to 76 years of age and 3 cases of pediatirc patients, varying from 4 to 7 years of age with scrub typhus. All of cases had fever, myalgia, headache, rash, eschar. Seven cases had positive passive hemagglutination test and eight cases had abnormal liver function. Mean duration for the removal of fever after medication was 1.3 day(1~2 days) and all cases were recovered without complications. Conclusion : Our results suggest that Clarithromycin therapy may be effective for scrub typhus.