Scrub Typhus Presenting as Acute Respiratory Distress Syndrome in Child

Scrub typhus is among the frequent causes of fever of unknown origin. Though the exact incidence in children is unknown, outbreaks have not been uncommon. We report 8 year old female presenting with fever, respiratory distress and a skin rash (eschar). Antibody titre was 1:640 for OX-K. Child improved after treatment with doxycycline and supportive care