Seventeen (26%) patients had clinical and laboratory evidence of meningitis and male: female ratio for this group was 10∶7(Table 2). The meningitis group also had a significantly higher percentage of patients with low grade fever and a lower percentage with respiratory symptoms. On examination the temperature, pulse and respiratory rates and incidence of crackles were significantly lower in patients with meningitis. Arthralgia, fatigue, edema, lymphadenopathy, pleural effusions, crackles and rhonchi were seen only in the control group but were not statistically significant. Mean duration of hospital stay was lower in patients without meningitis. Elevated urea, elevated total WBC counts in blood and a normal chest X-ray (CXR) were significantly associated with the presence of scrub meningitis (Table 3). A higher percentage of patients in the control group had elevated ESR, AST (×3times), bilirubin, GGT and WFT positivity (>1∶80) but without statistical significance. A positive WFT (≥1∶20) was seen in 33 patients (10/15 patients with meningitis) but only 7(7/15) patients had WFT titers >1∶80.