Case Report: Scrub Typhus and Q Fever Coinfection

Hang Jin Jeong 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;

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Sangho Choi 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;

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Jeongmin 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;

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Byoungchul Gill 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;

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Kang Mo 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;

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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;

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Choon-Mee Kim Department of Premedical Science, College of Medicine, Chosun University, Gwangju, South Korea;

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Na-Ra Yun Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea

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Dong-Min Kim Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea

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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.

Author Notes

Address correspondence to Dong-Min Kim, Department of Internal Medicine, School of Medicine, Chosun University, 588 Seosuk-dong, Dong-gu, Gwangju 61453, South Korea. E-mail: drongkim@chosun.ac.kr

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: haeng80@hanmail.net, agas83@hanmail.net, jeongminlee@korea.kr, gilri@korea.kr, km88lee@korea.kr, and yslee07@nih.go.kr. Choon-Mee Kim, Department of Premedical Science, College of Medicine, Chosun University, Gwangju, South Korea, E-mail: choonmee@chosun.ac.kr. Na-Ra Yun and Dong-Min Kim, Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, South Korea, E-mails: shine@chosun.ac.kr and drongkim@chosun.ac.kr.

These authors contributed equally to this work.

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