Introduction: Scrub typhus is a re-emerging Rickettsial infection presenting with protean manifestations and increasingly reported from all over the country. It is an important cause of acute febrile illness. Case Report: A middle aged adult male presented with complaints of fever, abdominal pain and pain in the testes of about two weeks duration. On examination patient was toxic, icteric, had inguinal and cervical lymphadenopathy, hepatosplenomegaly and unilateral tender testes and epididymis. All common causes of FUO (viz) Malaria, Typhoid fever; Dengue and Brucellosis were ruled out by laboratory tests. Serology for Scrub typhus was positive. The patient responded in 24 hours to Doxycycline thus clinching the diagnosis. Conclusion: This case is reported because of the unusual complication of epididymo orchitis in an adult due to Scrub typhus.

Keywords: Scrub Typhus; Epididymo Orchitis; Doxycycline.