Leukocytoclastic vasculitis and polyarthralgia in scrub typhus: An unusual presentation

Scrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi. It is of greatest public health importance in tropical rural Asia. The clinical manifestations of the disease range from sub-clinical to fatal organ failure. The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy and gastrointestinal disturbances. The fi rst presentation with cutaneous vasculitis and polyarthralgia is rare and unusual. We report a case of scrub typhus that presented with cutaneous vasculitis and polyarthralgia, which is very unusual and patient recovered with doxycycline treatment.