Spotted fever group rickettsioses (SFGR) have a wide global distribution and consist of more than 30 species or subspecies . Since the use of molecular tools for detection, human pathogenic species of SFGR are increasingly described . While most of these organisms are transmitted by ticks and in some cases by mites that generally feed on wild or domestic animals, the infection in human is accidental . Infections result in an acute febrile illness with undifferentiated clinical features. However, presence of a vasculitic rash that involves the body and the extremities during the course of illness together with a history of tick bites or exposure risk contributes to a clinical diagnosis . Patients can have various organ involvement such as pneumonitis, hepatitis, acute renal failure, encephalitis and when severe, may lead to multiple organ involvement carrying high mortality .