440. The Masqueraders Presenting a Multisystem Disease: Unusual and Atypical Clinical Features of Scrub Typhus in Fukushima Japan

摘要

BackgroundScrub typhus (ST) is endemic in Fukushima, where the highest number has been reported from 2006 to 2011 in Japan. Atypical clinical presentation of ST makes the diagnosis difficult followed by treatment delay. Despite fatal but treatable disease with early recognition, the myriad clinical features of ST have been underreported.