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A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of Orientia tsutsugamushi Using Multiplex PCR-Based Next-Generation Sequencing

Authors
Cho, SeungchanAllison, Jon C.Park, KkothanahreumNo, Jin SunLee, Seung-HoPark, KyungminKim, JongwooKlein, Terry A.Kim, Heung-ChulKim, Won-KeunSong, Jin-Won
Issue Date
Apr-2021
Publisher
MDPI
Keywords
Orientia tsutsugamushi; scrub typhus; genetic identification; target enrichment next-generation sequencing
Citation
PATHOGENS, v.10, no.4
Indexed
SCIE
SCOPUS
Journal Title
PATHOGENS
Volume
10
Number
4
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/128300
DOI
10.3390/pathogens10040424
ISSN
2076-0817
Abstract
An epidemiological investigation was conducted for a scrub typhus case reported in a U.S. Forces Korea military patient in the Republic of Korea in November 2018. The patient had a fever, maculopapular rash, and an eschar. The full-length sequence of Orientia tsutsugamushi 56-kDa type-specific antigen (TSA) gene was obtained from eschar tissue by multiplex PCR-based Next Generation Sequencing for genetic identification. Based on the 56-kDa TSA gene, the O. tsutsugamushi aligned most closely with the Boryong strain.
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