{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T10:10:03Z","timestamp":1768644603625,"version":"3.49.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T00:00:00Z","timestamp":1611964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Scrub typhus is prevalent in the Tsutsugamushi belt and may manifest with meningoencephalitis and seizures. We report a patient with scrub typhus who had non-convulsive status epilepticus (NCSE).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A 50-y-old female with fever and altered sensorium for 5 d was diagnosed as scrub typhus based on serum IgM ELISA. She was on mechanical ventilation and received doxycycline and ceftriaxone, but did not improve until the third day of admission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>An EEG revealed &amp;gt;2.5 Hz generalised epileptiform discharges, which were suppressed by intravenous lorazepam suggesting NCSE. Following valproate and levetiracetam, she became conscious and had a full recovery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A scrub typhus patient recovers even after prolonged NCSE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/trab007","type":"journal-article","created":{"date-parts":[[2021,1,9]],"date-time":"2021-01-09T02:50:08Z","timestamp":1610160608000},"page":"1091-1093","source":"Crossref","is-referenced-by-count":4,"title":["Prolonged coma in scrub typhus: consider non-convulsive status epilepticus"],"prefix":"10.1093","volume":"115","author":[{"given":"Jayantee","family":"Kalita","sequence":"first","affiliation":[{"name":"Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh-226014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh S","family":"Jadhav","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh-226014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun K","family":"Singh","sequence":"additional","affiliation":[{"name":"Currently working in Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Uttar Pradesh-221005, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usha K","family":"Misra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,1,30]]},"reference":[{"issue":"5","key":"2021090403005676400_bib1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1080\/13550280802266523","article-title":"Status epilepticus in encephalitis: a study of clinical findings, magnetic resonance imaging, and response to antiepileptic drugs","volume":"14","author":"Kalita","year":"2008","journal-title":"J Neurovirol."},{"key":"2021090403005676400_bib2","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1111\/j.1528-1167.2008.01556.x","article-title":"Status epilepticus: clinical presentation, cause, outcome and predictors of death in 119 Ethiopian patients","volume":"49","author":"Amare","year":"2008","journal-title":"Epilepsia."},{"issue":"2","key":"2021090403005676400_bib3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1093\/trstmh\/trx017","article-title":"Clinical manifestations of scrub typhus","volume":"111","author":"Rajapakse","year":"2017","journal-title":"Trans R Soc Trop Med Hyg."},{"issue":"1-2","key":"2021090403005676400_bib4","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jns.2014.12.012","article-title":"A study of muscle involvement in scrub typhus","volume":"348","author":"Kalita","year":"2015","journal-title":"J Neurol 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terminology and criteria for nonconvulsive status epilepticus","volume":"54","author":"Beniczky","year":"2013","journal-title":"Epilepsia."}],"container-title":["Transactions of The Royal Society of Tropical Medicine and 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