The answer for many of you (including The Archivist) might be… not much. Things to be aware of are: Orientia tsutsugamushi (a gram-negative alpha-probacterium from the Rickettsiaceae family), the trombiculid mite (Chiggers in USA and Harvest mites in UK, or berry bugs, or red bugs,) and the Tsutsugamushi Triangle (the area of the world where it is endemic including Northern Australia and Asia). It is on the increase and as we move around the world more readily, it may appear in your emergency department. It presents with common and non-specific symptoms; an acute febrile illness with headache and cough, muscle …