Despite resurgence in the number of Scrub typhus cases, it still poses a diagnostic challenge as there is no prototype presentation. We report a case of a child with Scrub typhus who developed a massive consolidation. Despite such an extensive consolidation, respiratory symptoms such as cough and breathlessness were inconspicuous thereby posing a diagnostic dilemma. Upon serological confirmation, doxycycline therapy was initiated with a rapid and complete resolution of the pneumonia, both clinically and radiologically. The case is being reported to highlight this unusual presentation of Scrub typhus in children.
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