{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:22:29Z","timestamp":1785734549440,"version":"3.56.0"},"reference-count":5,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["#R01NS39422"],"award-info":[{"award-number":["#R01NS39422"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["ICT\u20102011\u2010287739"],"award-info":[{"award-number":["ICT\u20102011\u2010287739"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003329","name":"Ministerio de Econom\u00eda y Competitividad","doi-asserted-by":"publisher","award":["RTC\u20102015\u20103967\u20101"],"award-info":[{"award-number":["RTC\u20102015\u20103967\u20101"]}],"id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurology &amp; Clinical Neurosc"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 40\u2010year\u2010old male farmer from rural West Bengal, India, presented with fever, headaches, seizure, eschar, and palsy of left cranial nerves VII, VIII, IX, and X as a rare clinical manifestation of scrub typhus. Positive IgM enzyme\u2010linked immunosorbent assay tests in serum and cerebrospinal fluid confirmed the diagnosis, with brain magnetic resonance imaging showing meningoencephalitis findings. Treatment with steroids and doxycycline led to neurological improvement. This case highlights the need for heightened clinician awareness toward early detection of scrub typhus's atypical presentations to ensure timely and effective treatment.<\/jats:p>","DOI":"10.1111\/ncn3.12819","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T13:45:22Z","timestamp":1712324722000},"page":"316-318","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Challenging neurological presentation: Scrub typhus with meningoencephalitis and multiple cranial nerve involvement"],"prefix":"10.1111","volume":"12","author":[{"given":"Uttam","family":"Biswas","sequence":"first","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mois\u00e9s","family":"Le\u00f3n\u2010Ruiz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Section of Clinical Neurophysiology University Hospital \"La Paz\"  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alamgir","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasenjit","family":"Das","sequence":"additional","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyamal Kanti","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritwik","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-4809","authenticated-orcid":false,"given":"Juli\u00e1n","family":"Benito\u2010Le\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital \"12 de Octubre\"  Madrid Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Hospital 12 de Octubre (i+12)  Madrid Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red Sobre Enfermedades Neurodegenerativas (CIBERNED)  Madrid Spain"},{"name":"Department of Medicine, Faculty of Medicine Complutense University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nrleng.2022.07.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/aian.aian_739_21"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed3010008"},{"key":"e_1_2_7_5_1","first-page":"88","article-title":"Scrub meningitis complicated by multiple cranial nerve palsies and cerebellitis","volume":"67","author":"Himral P","year":"2019","journal-title":"J Assoc Physicians India"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.7376"}],"container-title":["Neurology and Clinical Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ncn3.12819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T04:35:11Z","timestamp":1725338111000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ncn3.12819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,5]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/ncn3.12819"],"URL":"https:\/\/doi.org\/10.1111\/ncn3.12819","archive":["Portico"],"relation":{},"ISSN":["2049-4173","2049-4173"],"issn-type":[{"value":"2049-4173","type":"print"},{"value":"2049-4173","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,5]]},"assertion":[{"value":"2024-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}