Rare concurrent infection with scrub typhus, dengue and malaria in a young female.

scrub typhus and many other vector borne diseases are commonly seen in South Asia including Indian subcontinent. These infections have overlapping clinical manifestations and season of presentation. Scrub typhus or tsutsugamushi disease is a febrile illness caused by bacteria Orientia tsutsugamushi of the family Rickettsia. It is being reported from all parts of the Indian subcontinent though it is more prevalent in sub-Himalayan regions of north India1–2. Malaria is highly endemic in India3. Dengue is prevalent throughout India and outbreaks of dengue have been seen from months of October to December4. Although concurrent infections are reported, they are not very common5–6. These infections being vector borne diseases, the reason for simultaneous infection can be the same breeding period of the vectors in post-monsoon season. Diagnosis of concurrent infections becomes difficult for a physician leading to delay in institution of appropriate treatment. We hereby report a rare case of a patient having concurrent infection with dengue, malaria and scrub typhus.