Rickettsia are a rather diverse collection of organisms with several differences; this prohibits their description as a single homogenous group. The rickettsial diseases were believed to have disappeared from India are reemerging and they are reported from Maharashtra, Tamil nadu, Karnataka, Kerala, Jammu and Kashmir, Uttaranchal, Himachal Pradesh, Rajasthan, Assam and West Bengal. In view of low index of suspicion, nonspecific signs and symptoms, and absence of widely available sensitive and specific diagnosic test, these infections are notoriously difficult to diagnose. Knowledge of geographical distribution, evidence of exposure to vector, clinical features like fever, rash, eschar, headache and myalgia alongwith high index of suspicion are crucial factors for early diagnosis. We hereby report a patient who came to the PICU of our hospital 
Keywords: Rickettsia; Eschar; Weil-Felix Test; Antimicrobials.