Evidence map›Paper›PMID 40985849›Full record

ArticleJournal of Korean medical science2025

Classifying Eschar Morphologies: Enhancing Early Diagnosis of Scrub Typhus.

Chang-Seop Lee, Seonglyeong Kim, Hwanseung You, Jeongeun Song, Seung Hee Choi, Tae-Jong Kang, Hyohyun Yoo, Jin Park

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Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Chang-Seop Lee *Department of Internal Medicine, College of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID http://orcid.org/0000-0002-2897-2202
Seonglyeong Kim *College of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID http://orcid.org/0009-0005-2341-1106
Hwanseung YouCollege of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID http://orcid.org/0009-0007-4572-5813
Jeongeun SongCollege of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID http://orcid.org/0009-0009-0309-4587
Seung Hee ChoiDepartment of Webtoon and Cartoon, Yong-In Arts and Science University, Yongin, Korea.ORCID https://orcid.org/0000-0001-6949-422X
Tae-Jong KangDepartment of Dermatology, College of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID http://orcid.org/0000-0002-4955-7729
Hyohyun YooDepartment of Medical Education, College of Medicine, Jeonbuk National University, Jeonju, Korea.ORCID https://orcid.org/0000-0003-4226-2589
Jin ParkResearch Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.ORCID http://orcid.org/0000-0002-8830-5479

Funding

Biomedical Research Institute, Jeonbuk National University HospitalNational Research Foundation of Korea NRF-2018R1D1A3B07049557
6 · The paper itself

Abstract

backgroundScrub typhus, a rickettsial disease caused by

methodsIn this retrospective study, we analyzed 81 confirmed cases at Jeonbuk National University Hospital between January 2018 and December 2020 to systematically categorize eschar morphology and distribution.

resultsEschars were classified into five types based on their morphology: erythematous macules (2.5%), vesicular (4.9%), erosive/ulcerative (13.6%), crusted (74.1%), and sclerotic (4.9%). The most common site was the anterior body (44.4%) followed by the inguinal area (18.5%). Notably, 25.9% of cases exhibited atypical eschars lacking classical black crust, complicating the diagnosis. Eschar type distribution differed significantly between covered and exposed body areas (

conclusionThese findings highlight the need for comprehensive skin examinations and increased awareness of atypical eschars to enhance the diagnostic accuracy and improve the clinical outcomes of scrub typhus.

Indexed as

Scrub TyphusAdultAgedAged, 80 and overEarly DiagnosisFemaleHumansMaleMiddle AgedOrientia tsutsugamushiRetrospective StudiesSkinEarly DiagnosisEscharMorphologyOrientia tsutsugamushiScrub Typhus

Identifiers

PMID40985849
PMCPMC12453974

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