The reactivity of sera from patients of Tsutsugamushi disease (scrub typhus) with the antigenic polypeptides of Rickettsia tsutsugamushi was analyzed by the immunoblotting method. The reactivity varied greatly among the sera of individual patients tested. IgG and IgM antibodies of most patients reacted with the 54-56 kilodalton (54-56K) polypeptide located on the rickettsial surface, suggesting that this polypeptide is a predominant antigen in the infection. Other polypeptides of 60K, 50-52K, 46-47K, 35K, and 21-25K were reactive with some but not all sera. From the reactivity of these polypeptides, it was suggested that the 54-56K polypeptide is both strain-specific and group-specific, the 60K polypeptide is groupspecific, and the 35K and 21-25K polypeptides are subgroup-specific. IgG antibodies seem to be more cross-reactive with polypeptides of multiple strains than IgM antibodies and have a tendency of increased cross-reactivity that was observed in the sera obtained at the later stage of illness.Several antigenic variants of Rickettsia tsutsugamushi have been recognized in Japan. The prototype strains of Gilliam, Karp, and Kato are generally recognized, and other antigenic types such as Shimokoshi and Kawasaki strains have been isolated (9, 12). Our recent comparative immunoblotting analyses of these variants with guinea pig hyperimmune sera and strain-specific monoclonal antibodies demonstrated that the major polypeptide of 54 to 56 kilodalton (54-56K) on the rickettsial surface is antigenically strain-or type-specific, whereas the 70K and 46-47K polypeptides are group-specific (5, 10). Other workers reported also the several antigenic polypeptides of R. tsutsugamushi (2-4).The indirect immunoperoxidase (IP) or indirect immunofluorescence (IF) test is generally used for a serodiagnosis of Tsutsugamushi disease (scrub typhus) to detect antibodies against R. tsutsugamushi in the sera of patients. However, the reactivity of antibodies produced after infection has not been examined with the individual rickettsial polypeptides. In this study we analyzed the reactivity of rickettsial antigens with sera from patients of Tsutsugamushi disease by the immunoblotting technique.