In recent times Rickettsial disease has been an important cause of re-emerging infection all over the world. On most occasion they are difficult to diagnose as their presention resembles that of viral, bacterial or protozoal diseases. This may lead to unnecessary investigation and treatment and may lead to considerable morbidity, irreversible damage to vital organ and finally death if not treated earlier. However the positive aspect of this condition lies in the fact that they can easily be diagnosed by cheap, inexpensive blood test (Weil Felix test) and can be treated with less expensive oral drugs like doxycycline if high degree of suspicion is maintained. Here I present a case of rickettisia infection caused by spotted fever group who came with fever, rash, multiorgan dysfunction diagnosed outside as viral fever but was successfully treated in our icu with complete recovery.

fever, jaundice, rash, ARDS, AKI, hepatitis--Rickettsia (spotted fever group) infection