This debilitating and sometimes deadly disease, also known as scrub typhus or Japanese river fever, is caused by a microorganism, a Rickettsia.
The microorganism is transmitted from rodents to humans by a chigger known as the akamushi, which means “dangerous bug” in Japanese.
During the Asian and Pacific campaigns of World War II, tsutsugamushi was second only to malaria as a cause of medical casualties.
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