Leptospirosis aspirochetal disease with seasonal variation is seen especially in coastal regions and with abattoir workers. Rickettsialdisease, viruses like dengue and hantavirus have epidemiological and clinical featuressimilar to leptospirosis. Patients with leptospirosis not recovering after specific antibiotics should be suspected for dual infection or confection.Here, we report a case of Coinfection, leptospirosis with scrub typhus which presented with fever, myalgia and profound thrombocytopenia.