iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2021.v02i01.010Eschar in Pediatric Scrub Typus patients of Hilly District of North IndiaRajuVipinRoachMedical Officer (Specialist), Himachal Pradesh Medical Services, IndiaAssistant Professor, Department of Pediatrics, I.G.M.C., Shimla, H.P., IndiaBackground: Scrub typhus is endemic and documented zoonotic disease in the state of Himachal Pradesh as the climatic and geographical conditions are conducive for spread of vector of this disease. The most pathognomonic sign of scrub typhus is the presence of an eschar which is formed by the bite of chigger mite that inoculates the causative agent of Scrub typhus Orientia tsutsugamushi. The aim of this study is to determine the prevalence as well as the most common sites of eschars over the bodies of patients with Scrub typhus. Materials and Methods: This cross-sectional Sero-Epidemiological study was conducted in the department of Paediatrics, Indira Gandhi Medical College, and Shimla from 1st June 2017 to 30th Nov 2018. The study participants were newly diagnosed paediatric cases(n-102) of scrub typhus with a positive Scrub typhus IgM ELISA test. We studied the distribution of eschars over the bodies of all 102 patients with Scrub typhus. Results: Eschar was present in 39(38.24%) patients. Among these 39 patients 21(53.8%) were males while 18 (46.2%) were females. There was a significant difference in the distribution of eschars between males and females with a preponderance of the chest and abdomen among females and the inguinal and axilla in males. Conclusion: The eschar is the most useful diagnostic clue in patients with acute febrile illness in areas endemic for Scrub typhus and therefore should be thoroughly examined for its presence especially over the covered areas such as the inguinal, chest, abdomen and axilla.