Abstract：
Undifferentiated febrile diseases (e.g., Mossman fever) from northern Queensland were eventually partially attributed to mite-transmitted rickettsial infections known as scrub typhus or tsutsugamushi fever. Scrub typhus became a major medical threat to military operations in Papua New Guinea during the Second World War and killed more Australian soldiers than malaria in the pre-antibiotic era. Further investigations showed scrub typhus to be an occupational disease of rural workers in north Queensland especially around Cairns and Innisfail. Occasional small epidemics of scrub typhus still occur during military exercises in Queensland, but as scrub typhus is not a reportable disease, its presence in the civilian community is largely unknown. Increased use of serological testing in patients with fever and rash illnesses after exposure in northern Queensland is likely to show that scrub typhus is a modern infection that remains treatable with antibiotics once it is identified.
摘要：
未分化的发热性疾病(例如，昆士兰州北部的Mossman热）最终部分归因于螨虫传播的立克次体感染，称为斑疹伤寒或虫虫热。在第二次世界大战期间，斑疹伤寒成为巴布亚新几内亚军事行动的主要医疗威胁，在抗生素使用前时代，杀死的澳大利亚士兵比疟疾还多。进一步的调查显示，斑疹伤寒是昆士兰州北部农村工人的职业病，尤其是凯恩斯和因尼斯法尔附近。在昆士兰州的军事演习中，仍然会偶尔发生斑疹伤寒的小流行病，但是由于斑疹伤寒不是一种可报告的疾病，它在平民社区中的存在很大程度上是未知的。在昆士兰州北部暴露后，对发烧和皮疹疾病的患者增加了血清学检测的使用，这可能表明斑疹伤寒是一种现代感染，一旦被发现，仍然可以用抗生素治疗。
