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Volume 48, Number 1, February 2015

Co-infection with Orientia tsutsugamushi and Mycoplasma pneumoniae in a traveler 

Wen-Sen Lee, Tsong-Yih Ou, Fu-Lun Chen, Chin-Wang Hsu, Shio-Shin Jean

Received: November 1, 2013         


Corresponding author:

*Corresponding author. Department of Emergency,
Wan Fang Medical Center, Taipei Medical University,
Number 111, Section 3, Hsing-Long Road,
Taipei 116, Taiwan.
E-mail address: (S.-S. Jean) 


Background and purpose: 

We read with great interest the article in the Journal of Microbiology, Immunology and Infection by Wei et al, reporting that a case of scrub typhus co-infection with leptospirosis, complicated by acute respiratory failure and septic shock, where the patient was successfully treated with combination therapy.1 However, the co-infection of scrub typhus and leptospirosis may be overestimated in endemic areas, and the incidence of co-infection was only about 6% of the case series study in Southeast Asia.