A 9-yr-old boy presented with twelve days of highgrade intermittent fever with hepatosplenomegaly and a 0.5x0.5cm eschar over upper anterior abdominal wall (Fig. 1). Eschar preceded the fever with itch on the site and a papulovesicular lesion. This ruptured to form a dark brown to black crust over 2 days. Scrub typhus Elisa for IgM was positive. With oral doxycyclline his itch disappeared in 12 hrs and fever subsided in 36 hrs. On follow-up after 2 wk the eschar had resolved leaving a small scar.
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