A case of neonatal tsutsugamushi disease diagnosed with the aid of rickettsial macrogenomic detection.

"Declarations Ethics approval and consent to participateThe study was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki (Revised in 2013). The study was approved by the Medical Ethics Committee of Pu’er People’s Hospital (#2022PYIEC005). All patients provided written informed consent prior to treatment. All methods were carried out in accordance with relevant guidelines and regulations. Consent for publicationInformed consent from all subjects and/or their legal guardian(s) for publication of identifying information/images in an online open-access publication. Competing interestsThe authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper."

"Funding None."