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Of these, 31 (84%) patients had altered sensorium, four (11%) had cerebellitis, one (2%) patient had acute transverse myelitis and one (2%) had bilateral papilloedema without focal neurological deficit. Of the 31 patients with altered sensorium, 15 (40%) had meningoencephalitis, three (8%) had seizures, two (5%) had cerebral haemorrhages, one (2%) had a presentation likened to neuroleptic malignant syndrome (NMS) and one (2%) had a 6th nerve palsy with inflammation of the right cavernous sinus. Cerebrospinal fluid (CSF) analysis was abnormal in 23 patients (raised lymphocytes in 68%, raised protein in 80%). All patients improved with anti-rickettsial therapy.<\/jats:p>","DOI":"10.1177\/0049475516636543","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T23:23:20Z","timestamp":1460157800000},"page":"22-25","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["Neurological manifestations of scrub typhus in adults"],"prefix":"10.1177","volume":"47","author":[{"given":"Abhinav","family":"Rana","sequence":"first","affiliation":[{"name":"Resident, I.G. Medical College, Shimla, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay K","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Associate Professor, I.G. Medical College, Shimla, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arindam","family":"Sharma","sequence":"additional","affiliation":[{"name":"Resident, I.G. 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