RT Journal Article SR Electronic T1 Acute severe monarthritis: a rare manifestation of scrub typhus JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2018-227002 DO 10.1136/bcr-2018-227002 VO 11 IS 1 A1 Koushik Handattu A1 Ramesh Bhat Yellanthoor A1 Kalyan Chakravarthy Konda A1 Sandesh Kini YR 2018 UL http://casereports.bmj.com/content/11/1/bcr-2018-227002.abstract AB Scrub typhus caused by Orientia tsutsugamushi is an important cause for fever of unknown origin in endemic areas including India. The vasculitis associated with the disease leads to a variety of clinical manifestations. However, the joint involvement is quite rare and not reported in children. We present severe arthritis of hip joint associated with scrub typhus causing a diagnostic and management challenges in a 4-year-old girl.