Scrub typhus during pregnancy

Scrub typhus is an uncommon cause of acute febrile illness during pregnancy. If not diagnosed early and treated appropriately it can lead to adverse maternal and foetal outcome. We report the case of a 27-year-old woman, gravida 2, para 1, live birth 1, with 29 weeks gestation who presented to the hospital with high grade fever, chills, severe headache and body pains of 9 days duration. The diagnosis of scrub typhus was confirmed by serum immunochromatography. She was successfully treated with azithromycin, and discharged. There were no foetal complicatons.