An unusual cause of simultaneous bilateral spontaneous pneumothorax

Scrub typhus, a tropical febrile vector borne disease also known as “Tsutsugamushi disease”, is caused by Orientia tsutsugamushi, a gram negative obligate intracellular slow growing bacteria. The infection is transmitted by the bite of larval stage (chiggers) mites belonging to the family Trombiculidae. The disease is transmitted from larval stage mites to rats, where humans are an accidental host. The name scrub typhus is derived from the prevalence of the mites in areas of heavy scrub vegetation. Here we report a case of a young man with primary ciliary dyskinesia presenting with bilateral pneumothorax following Scrub typhus infection