“…Complications include encephalitis, interstitial pneumonia, acute renal failure, acute hepatic failure, acute hearing loss, and acute respiratory distress. These features resemble that of other infectious etiologies such as enteric fever, malaria, dengue, brucellosis, and leptospirosis [ 3 ]. ST is a neglected tropical disease and delay in diagnosis and treatment results in an increased case fatality rate.…”