“…In contrast, O. tsutsugamushi the etiologic agent of scrub typhus, a disease endemic to the Asian continent and present throughout Indonesia and northern Australia, is transmitted mainly by the bite of larva life stage-infected Leptotrombidium mites (49,50). HME, HGA and scrub typhus have similar clinical presentations characterized by initial symptoms including fever, headache, myalgia, nausea, confusion, conjunctival injection (red eyes), and chills within the first two weeks following infection (1,3,15). Common laboratory abnormalities include thrombocytopenia, leukopenia, anemia, and elevated hepatic transaminases (2,14,(16)(17)(18).…”