Orientia tsutsugamushi
"O. tsutsugamushi" causes a complex and dangerous infection scrub typhus. Infection starts when chiggers bite on the skin during their feeding. The bacteria are deposited at the site of feeding (inoculation), where they multiply. They cause progressive tissue damage (necrosis). Necrosis progresses to inflammation of the blood vessels called vasculitis. This in turn causes inflammation of the lymph nodes, called lymphadenopathy. Within a few days, vasculitis extends to various organs including liver, brain, kidney, meninges and the lung. The disease is responsible for nearly a quarter of all the febrile (high fever) illness in endemic areas. Mortality in severe case or due to improper treatment or misdiagnosis may be as high as 30-70%. About 6% of infected people die untreated, and 1.4% of the patients die even with medical treatment. Moreover, death rate can be as high as 13% where medical treatment is not properly handled. In cases of misdiagnosis and failure of treatment, systemic complications rapidly develop including acute respiratory distress syndrome, acute kidney failure, encephalitis, gastrointestinal bleeding, hepatitis, meningitis, myocarditis, pancreatitis, pneumonia, septic shock, sub-acute thyroiditis, and multi-organ dysfunctions. Harmful symptoms involving multiple organ failure and neurological impairment are difficult to treat, and can be lifelong debilitation or directly fatal. The central nervous system is often affected and result in various complications including cerebellitis, cranial nerve palsies, meningoencephalitis, plexopathy, transverse myelitis, neuroleptic malignant syndrome, and Guillan-Barré syndrome. Death rates due to complications can be up to 14% in brain infections, and 24% with multiple organ failure. It is the major cause of acute encephalitis syndrome in India, where viral infection Japanese encephalitis has been regarded as the main factor.
Western green mamba
Human fatalities as a result of bites from this species are rare due to the fact that this species does not often cross paths with humans, but bites have occurred and the majority of the recorded bites have been fatal. The three species of green mambas, including the western green mamba, have venom toxicities that are similar to and comparable to many species of cobras, but green mamba bites often present with more severe and life-threatening symptoms in a shorter period of time. Mortality rates are also higher among green mamba bite victims than with cobra bite victims. Although bites by "Dendroaspis viridis" are not well documented and the rate of bites, envenoming and fatality is not well known, it appears that bites attributed to this species produce more severe envenomation than bites caused by "Dendroaspis angusticeps" (eastern green mamba), but far less severe than bites caused by "Dendroaspis polylepis" (black mamba). When bitten, symptoms rapidly begin to manifest, usually within the first 15 minutes or less. The extraordinary speed with which the venom spreads through tissue and produces rapid manifestations of life-threatening symptoms is unique to mambas. Common symptoms of a bite from a western green mamba include local pain and swelling, although uncommon, local necrosis can be moderate, ataxia, headache, drowsiness, difficulty breathing, vertigo, hypotension (low blood pressure), diarrhea, dizziness, and paralysis. Left untreated, new and more severe symptoms rapidly progress. All symptoms worsen and the victim eventually dies due to suffocation resulting from paralysis of the respiratory muscles. Bites with envenomation can be rapidly fatal, which can be possible in 30 minutes.