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Leptotrombidium
chiangraiensis is a recently described chigger species
which appears to be an important vector of scrub typhus.
Scrub
typhus
Scrub typhus, caused by Orientia
(Rickettsia) tsutsugamushi, is transmitted
by the bite of infected chiggers. This disease caused
more deaths than malaria in World War II. Scrub typhus
remains a significant problem throughout much of Asia
and the Pacific region and presents a threat to deployed
troops. The disease is greatly under-reported, because
its symptoms resemble those of many other tropical diseases.
A rapid, non-microscopic diagnostic test was recently
developed by AFRIMS investigators working with Thai and
U.S. scientists.
In the early 1990s, AFRIMS and Thai scientists discovered
and described antibiotic-resistant strains of scrub typhus
that cause severe disease in northern Thailand. Current
activity is focused on investigating the molecular mechanism
of resistance, as well as developing diagnostic assays
to detect drug resistant forms. Clinical trials to find
new antibiotics capable of preventing and curing this
disease are in progress.
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In
addition, epidemiological studies in northern Thailand
have identified a new ecology for scrub typhus transmission,
including the discovery of a new chigger species which
appears to be an important vector. A rapid molecular method
to detect and identify different scrub typhus strains
has been developed by an AFRIMS scientist.
Identification of risk factors for transmission, and possible
application of vector control measures, are also research
priorities.

Sagittal
section of a scrub typhus infected (top panel) and uninfected
(lower panel) of an adult chigger (Leptotrobidium chiangraiensis).
The scrub typhus antigen stains a scarlet red color. OV
= ovary; SG = salivary gland; SEG = supraoesophageal ganglion;
IT = interstitial membranes; ML = midgut lobes
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