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A 56-year-old female goat herder had scrub typhus that persisted after receiving doxycycline for 5 days. Her symptoms continued, prompting us to perform further examinations that revealed coinfection of Q fever and scrub typhus via molecular and serological testing. We also isolated Orientia tsutsugamushi using BALB/c mice and L929 cells.
Financial support: This study was supported by research funds from Chosun University Hospital 2016.
Authors’ addresses: Hang Jin Jeong, Sangho Choi, Jeongmin Lee, Byoungchul Gill, Kang Mo Lee, and Yeong Seon Lee, Division of Bacterial Disease Research, Center for Infectious Diseases Research, National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju-si, South Korea, E-mails: email@example.com, firstname.lastname@example.org, email@example.com, firstname.lastname@example.org, email@example.com, and firstname.lastname@example.org. Choon-Mee Kim, Department of Premedical Science, College of Medicine, Chosun University, Gwangju, South Korea, E-mail: email@example.com. Na-Ra Yun and Dong-Min Kim, Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea, E-mails: firstname.lastname@example.org and email@example.com.
These authors contributed equally to this work.