Scrub typhus is caused by rickettsia. DOC for rickettsia is Doxycycline(tetracycline). It is the DOC for all kind of typhus like endemic typhus, epidemic typhus, and other rickettsial infections like Q fever, rocky mountain spotted fever. Azithromycin is a macrolide and a protein synthesis inhibitor. Ciprofloxacin is a fluoroquinolone. Chloramphenicol is also a protein synthesis inhibitor.
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