Neonatal Scrub Typhus—A Case Report

Scrub typhus is the most common rickettsial infection in India. A neonate with suspected late-onset sepsis/late hemorrhagic disease of newborn and scrotal cellulitis was finally diagnosed as scrub typhus. The samples of blood and urine were sent and azithromycin was started empirically awaiting the reports. The baby improved with resolution of fever and increased oral acceptance and thrombocytopenia resolved. In any newborn presenting with fever, eschar, and positive family history, besides other common diagnoses like sepsis, scrub typhus should also be suspected as a differential diagnosis, especially in endemic countries. Prompt diagnosis and early initiation of treatment will reduce mortality and morbidity of newborns with scrub typhus.