Tsutsugamusi disease, caused by Rickettsia tsutsugamusi, is an acute exanthematous reckettsial disease charcterized by a primary skin lesion consisting of a punched-out ulcer covered by eschar
(117K) at the site of the attachment of the vector mite
(117K).
This disease occures throughout most of Japan, south Korea, Taiwan, Philippines, Queensland and so on.
from Clinical Parasitology 9th ed. P598