Case 168. Tsutsugamushi disease (38 y-o M)

       
  Autopsy findings of the skin and heart in a classic Tsutsugamushi disease in Akita (clinical course: 8 days)  
       

 

  At the base of skin ulcer, phagocytizing macrophages are clustered. Fine granules can be recognized in the cytoplasm of the macrophages (HE, oil immersion).