Scrub Typhus

A 65-year-old woman was admitted with fever and rash. On physical examination, an erosion 1.5 cm by 1.5 cm with a torn bulla was observed in the right axilla, and a generalized, nonpruritic, maculopapular rash was found over the whole body. A 65-year-old woman was admitted with fever and rash that had developed 3 days and 1 day before admission, respectively. On physical examination, an erosion 1.5 cm by 1.5 cm with a torn bulla was observed in the right axilla, and a generalized, nonpruritic, maculopapular rash was found over the whole body (Panels A and B). The daily appearance of eschar was evaluated by dermoscopy, and routine photography was performed from the first through the fourth hospital day (Panels C through F). Over time, the center of the eschar developed a black crust covering the ulcer, which was surrounded by . . .