The Ear, the Heart, and the Lung: The Mighty Mite.

Scrub typhus is a common cause of febrile illness. It is a major public health threat in the Asia-Pacific region, particularly the "Tsutsugamushi triangle" geographic region. Patients present with fever, rash, nausea, and vomiting, and may later develop systemic manifestations. The characteristic and typical "eschar" of the disease might be absent, making the diagnosis difficult. This case report highlights the importance of recognizing uncommon clinical presentations of this common tropical disease and its prompt diagnosis and treatment.