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Nine studies were found, and no Indian study exclusively evaluated hepatic dysfunction. Thus, comments from a few international studies were also included. We conclude that liver dysfunction in the form of elevated serum transaminase levels is a common manifestation of scrub typhus, which may herald progress to fulminant hepatic failure.<\/jats:p>","DOI":"10.1177\/0049475521991353","type":"journal-article","created":{"date-parts":[[2021,2,21]],"date-time":"2021-02-21T11:08:16Z","timestamp":1613905696000},"page":"228-231","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Scrub typhus-related hepatotoxicity: The Indian scenario"],"prefix":"10.1177","volume":"51","author":[{"given":"Pravin","family":"Rathi","sequence":"first","affiliation":[{"name":"Consultant Gastroenterologist, Bombay Hospital and Medical Research Centre, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0175-2020","authenticated-orcid":false,"given":"Khwaja A","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Resident Doctor, Department of Gastroenterology, Bombay Hospital and Medical Research Centre, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parth","family":"Shah","sequence":"additional","affiliation":[{"name":"Resident Doctor, Department of Gastroenterology, Bombay Hospital and Medical Research Centre, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,21]]},"reference":[{"key":"bibr1-0049475521991353","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed3010011"},{"key":"bibr2-0049475521991353","first-page":"891","volume-title":"Manson\u2019s tropical diseases","author":"Cowan GO","year":"2003","edition":"21"},{"key":"bibr3-0049475521991353","first-page":"14","volume":"2","author":"Devine J","year":"2003","journal-title":"J Rural Remote Environ Health"},{"key":"bibr4-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4103\/jnrp.jnrp_44_17"},{"key":"bibr5-0049475521991353","first-page":"954","volume":"53","author":"Mahajan SK","year":"2005","journal-title":"J Assoc Phys India"},{"key":"bibr6-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003971"},{"key":"bibr7-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.02.009"},{"key":"bibr8-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1186\/s40249-016-0186-x"},{"key":"bibr9-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4103\/0976-3147.169769"},{"key":"bibr10-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4103\/0255-0857.136552"},{"key":"bibr11-0049475521991353","first-page":"69","volume":"30","author":"Takhar RP","year":"2017","journal-title":"Natl Med J India"},{"key":"bibr12-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9062.234626"},{"key":"bibr13-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.16-0086"},{"key":"bibr14-0049475521991353","first-page":"30","volume":"64","author":"Kumar R","year":"2016","journal-title":"J Assoc Phys India"},{"key":"bibr15-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_2258_18"},{"key":"bibr16-0049475521991353","doi-asserted-by":"publisher","DOI":"10.7754\/Clin.Lab.2013.121203"},{"key":"bibr17-0049475521991353","first-page":"101","volume":"94","author":"Yang CH","year":"1995","journal-title":"J Formos Med Assoc"},{"key":"bibr18-0049475521991353","first-page":"2366","volume":"90","author":"Chanta C","year":"2007","journal-title":"J Med Assoc Thai"},{"key":"bibr19-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1016\/j.clim.2004.08.006"},{"key":"bibr20-0049475521991353","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2005.72.465"},{"key":"bibr21-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.1998.00231.x"},{"key":"bibr22-0049475521991353","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i36.5138"},{"key":"bibr23-0049475521991353","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.312.6386"},{"key":"bibr24-0049475521991353","doi-asserted-by":"publisher","DOI":"10.1016\/S1665-2681(19)31998-2"},{"key":"bibr25-0049475521991353","first-page":"7","volume":"14","author":"Malhotra Y","year":"2015","journal-title":"Online J Health Allied Scs"},{"key":"bibr26-0049475521991353","first-page":"790","volume":"149","author":"Chaudhry R","year":"2019","journal-title":"Report of five cases. 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