FREE Pregnancy
Counseling
Request A Callback

How Scrub Typhus Spreads: Protecting Children from Tick Bites

May 20, 2025

Scrub typhus is an acute, feverish illness and an emerging rickettsial disease. It is transmitted through the bite of an infected chigger or a larval mite. This zoonotic disease can cause various health issues like fever, headache, abdomen and other breathing difficulties. Scrub typhus is a serious bacterial infection that affects children due to less preexisting immunity. It is endemic in the Asian Pacific Region, which is the primary cause of the illness in children in rural tropical areas. Diagnosing and treating the disease early is important to avoid serious medical complications. Read this article to learn how scrub typhus spreads and tips on protecting kids from ticks.

What is Scrub Typhus?

Scrub Typhus

Scrub typhus is an infectious and mite-born disease caused by Orientia tsutsugamushi bacteria. The bite of a trombiculid mite transmits it. It usually presents with high-grade fever with other non-specific signs and symptoms. Children are more likely to be affected by the disease due to less immunity. You may notice red or pink lesions in the area of the mite bite. The infection starts after the incubation period.

Causes of Scrub Typhus

The following can increase the chance of getting infected by scrub typhus:

  • Visiting areas with grass, weeds, bushes and poorly maintained garden
  • Travelling to an area where scrub typhus is an endemic
  • Diagnosing scrub typhus
  • Staying near animal sheds
  • Being in contact with animals infested with ticks
  • It is mainly caused by a bacterium called Orientia tsutsugamushi
  • It is also caused by infected chigger bites present in grasslands and dense vegetation.
  • Small mammals become the host of the bacterium, which transmits the bacterium to others.

Stay away from the above risk factors to prevent you and your kids from scrub typhus.

Signs and Symptoms of Scrub Typhus

The symptoms of scrub typhus start after an incubation period of 6 to 21 days. The symptoms are similar to other diseases. This acute febrile illness is usually associated with non-specific signs and symptoms. Some of the evident symptoms of scrub typhus infection are:

  • Headache
  • Fever
  • Body aches
  • Gastrointestinal disorder
  • Chills
  • Rashes
  • Abdominal pain
  • Lymph node enlargement
  • Confusion
  • Cough
  • Breathing problems

Tick bite symptoms in children include a dark scab-like region in the bite area (usually in the groin and axilla) rashes, muscle and joint aches, stiff neck or back, tiredness, loss of appetite, hot skin, diarrhoea and swollen glands.

Fever may rise in the first week of infection. This conjunctival infection leads to severe headaches. The macular rash starts to develop in the trunk and extends to the arms and legs. Child may develop a persistent cough in the first week, followed by pneumonitis in the second week.

Also Read: How to Increase Your Child’s Immune System Health

Diagnosing Scrub Typhus in Children

Physical examination is done by the healthcare provider when your tick bites you. Painless eschar at the site of the tick bite is a potential pointer for diagnosis. A biopsy of the rash is done to identify the type of infection. Laboratory tests and blood tests help in diagnosing scrub typhus in children. Some of the laboratory tests to diagnose scrub typhus are the Weil-Felix test and the indirect fluorescent antibody test. Other tests for diagnosing the disease are antibody titer, rapid immuno chromatographic tests and molecular methods.

Treating Scrub Typhus in Children

Treating Scrub Typhus in Children

You must treat scrub typhus infection immediately to avoid complications. Early diagnosis and timely medical intervention can help the patient recover quickly. Antibiotics are quite effective in treating scrub typhus in children. Your healthcare provider usually prescribes doxycycline. For a mild infection, antibiotics are prescribed for 5 days, and for a severe infection, antibiotics are recommended for 10 days. Patients who have already been treated with doxycycline recover quickly.

Alternative drugs suggested for scrub typhus are azithromycin or chloramphenicol. Children with undifferentiated fever for 5 days who have not been ruled out for malaria, dengue or typhoid must be administered doxycycline or azithromycin. Pain relievers and fluids are supplementary relief measures to alleviate the symptoms.

Risks and Complications of Scrub Typhus in Children

Scrub typhus can be a life-threatening disease when left untreated. The following are the complications of scrub typhus in children:

  • Pneumonia
  • ARDS
  • Bleeding
  • Meningoencephalitis
  • Severe thrombocytopenia
  • Hepatitis
  • Acute renal failure
  • Meningitis
  • Enlargement of spleen
  • Organ damage and death

Also Read: Pneumonia in Children: Causes, Symptoms & Treatment

Ways to Prevent Kids from Tick Bites

To protect your kids from scrub typhus, you must prevent them from tick bites. As of now, there is no vaccination available to prevent your kids from scrub typhus. Follow this safety measure for tick bite prevention in children.

  • Make use of insect repellent.
  • Avoid contact with animals infested with ticks.
  • Wear full-sleeved shirts or dresses when outdoors.
  • Reduce your visit to high-vegetation areas.
  • Apply insect repellent to exposed skin when outdoors. Use the best tick repellent for kids to avoid tick bites.
  • Make sure you wash your clothes with highly concentrated detergent when visiting areas with lots of trees.
  • Keep your living environment clean and tidy.
  • Check your kid’s clothing for chiggers.
  • Treat your clothes with permethrin, as it kills chiggers.

Conclusion

Scrub typhus is an acute bacterial disease transmitted through the bite of an infected larval mite or chigger. This zoonotic disease is highly infectious and spreads through infected ticks in animals. Early diagnosis and treatment are important to prevent the complications of the disease. Antibiotics are the primary treatment for treating scrub typhus. Preventing tick bites can help protect your children from scrub typhus infection.

The mortality rate of scrub typhus is very low, and the recovery period is quick.

Book an online appointment with Dr. Haritha S Kumar for Peadiatric related issues.

FAQs:

1. How do ticks spread scrub typhus to children?

Ticks spread scrub typhus to children through the bite of infected marvel mites or chiggers. When children are exposed to areas with thick bushes, high grasses and lots of trees, there are chances of chiggers biting the children. It also spreads to children when they come in close contact with pets or animals infested with ticks.

2. Can all ticks carry the bacteria that cause scrub typhus?

All ticks do not carry the bacteria that causes scrub typhus. This disease is mainly caused by the Orientia tsutsugamushi bacteria and is transmitted by the larvae of trombiculid mites.

3. How can I reduce the risk of scrub typhus in areas where ticks are common?

  • Avoid visiting areas where there is a lot of vegetation.
  • Apply insect repellent when outdoors.
  • After visiting areas with thick vegetation, wash the clothes with concentrated detergents.
  • Wear full-sleeved clothes when outdoors.
  • Avoid contact with animals infected with ticks.

Want to consult the best gynecologists in India? Please find the links below.

  1. Best Gynecologists in Hyderabad
  2. Top Gynecologists in Chennai
  3. Best Gynecologists in Bangalore
  4. Top Obstetricians & Gynecologists in Mumbai
  5. Top Gynecologists near me in Pune
  6. Best Obstetricians & Gynecologists in Chandigarh
  7. Top Obstetricians & Gynecologists near me in Gurgaon
  8. Best Gynecologists near me in Noida
  9. Top Gynecologist near me in Panchkula
  10. Best Gynecologist in Ludhiana
  11. Top Gynecologist In Delhi
  12. Top Gynecologists in Faridabad
  13. Top Gynecologists in Lucknow

Want to consult the best Maternity Packages in India? Please find the links below.

  1. Best Maternity Packages in Bengaluru
  2. Best Maternity Packages in Chandigarh
  3. Best Maternity Packages in Chennai
  4. Best Maternity Packages in Faridabad
  5. Best Maternity Packages in Gurugram
  6. Best Maternity Packages in Hyderabad
  7. Best Maternity Packages in Ludhiana
  8. Best Maternity Packages in Mumbai
  9. Best Maternity Packages in New Delhi
  10. Best Maternity Packages in Noida
  11. Best Maternity Packages in Panchkula
  12. Best Maternity Packages in Pune

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.