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We report 3 cases of dual-genotype Orientia tsutsugamushi infection in Hainan Island, China. Patients exhibited diverse clinical manifestations, including afebrile illness and multiorgan involvement, highlighting the complexity associated with genetic diversity in scrub typhus. Clinicians should maintain heightened suspicion for atypical scrub typhus manifestations in endemic regions.
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Niu et al. (2025) studied this question.
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