1. A case of scrub typhus due toRickettsia tsutsugamushi is reported.

2. Infestation with mites of the genus Trombicula, whose larvae carry the rickettsial agent of scrub typhus.

3. The different Aetiologies of acute febrile illness are scrub typhus, malaria, enteric fever, dengue, leptospirosis and spotted fever [3]

4. 15 Scrub typhus is an acute febrile illness. Severe complications of this disease have been very rare since the introduction of specific antibiotic therapy.