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The previous report on an outbreak of scrub typhus in Kathmandu is incorrect; the cases mentioned were actually not from Kathmandu but from other districts of Nepal.
The first case of scrub typhus in the capital Kathmandu, was reported recently on 14 October 2015. The case is a 28-year-old male who was treated at Sukraraj Tropical and Infectious Disease Hospital in Kathmandu. Scrub typhus was laboratory-confirmed on 18 October 2015, by the National Public Health Laboratory.
Scrub typhus is an infection caused by a rickettsia-like bacteria. The infection is transmitted by infected larval trombiculid mites and rats or mice may act as reservoirs. Humans may become infected in areas where the mites and rodents are present, most often areas of low-lying scrub brush or vegetation.
Travellers should be aware of the risk of scrub typhus, particularly those visiting rural areas who should avoid close contact with this type of vegetation. The skin should be protected with clothing (ideally permethrin treated) and DEET insect repellent on exposed skin.
