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vement and sustainable quality assurance mechanisms are major problem-solving steps in improving access to healthcare. Dengue fever and scrub typhus are considered an endemic disease in the Indian subcontinent. The epidemiology and clinical presentations are complex and vary each year. The objective of this study was to estimate the prevalence of coinfection with scrub typhus in children diagnosed with dengue fever. A retrospective hospital-based, cross-sectional study was done in the Department of Pediatrics of a teaching hospital in P