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Successful management of acute respiratory distress syndrome in scrub typhus: A rare entity

Scrub typhus or tsutsugamushi disease is characterized by nonspecific signs and symptoms. Disease manifestation are acute fever, eschar formation at the site of chigger bite and serious respiratory complication. We report the case of a 22-year-old girl admitted in our intensive care unit (ICU) with the chief complaints of fever with chills, rigor, and severe headache diagnosed as scrub typhus. She was treated well for 7 days, cured, and discharged from the ICU. For a physician, awareness of regional prevalence and a history of travel to endemic areas or outdoor activities such as mountaineering and expedition should raise the suspicion for scrub typhus. Early diagnosis and treatment will prevent death and reduce morbidity.