{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:03:07Z","timestamp":1789790587685,"version":"4.0.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    Scrub typhus is a mite-borne rickettsial infection caused by\n                    <jats:italic toggle=\"yes\">Orientia tsutsugamushi<\/jats:italic>\n                    and is transmitted through the bite of larval trombiculid mites. It is an important cause of acute febrile illness in endemic regions. Although the disease typically presents with fever, rash, lymphadenopathy, and eschar, its clinical manifestations are highly variable and may include severe systemic complications. We report a case of scrub typhus presenting with symptomatic hypocalcaemia and hypophosphataemia probably the result of renal tubular electrolyte loss, highlighting a potentially under-recognized metabolic manifestation.\n                  <\/jats:p>","DOI":"10.1177\/00494755261467172","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:06:29Z","timestamp":1783429589000},"page":"776-777","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An unusual presentation of scrub typhus as tetany: A case report"],"prefix":"10.1177","volume":"56","author":[{"given":"Padma Chitra","family":"Balasubramanian","sequence":"first","affiliation":[{"name":"Department of Paediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kolluri","family":"Priyanka","sequence":"additional","affiliation":[{"name":"Senior resident, Department of Paediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2652-4585","authenticated-orcid":false,"given":"Syed Ahmed","family":"Zaki","sequence":"additional","affiliation":[{"name":"Additional Professor, Department of Paediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gadhiraju Manisha","family":"Varma","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Paediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibabratta","family":"Patnaik","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Paediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-24256"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9062.355960"},{"key":"e_1_3_2_4_2","article-title":"Severe scrub typhus presenting with multiorgan dysfunction and atypical features: two case reports from the Maldives","volume":"17","author":"Zin Aung K","year":"2025","unstructured":"Zin Aung K, Cho EE, Saw NEL, et al. Severe scrub typhus presenting with multiorgan dysfunction and atypical features: two case reports from the Maldives. Cureus 2025; 17: e95842.","journal-title":"Cureus"},{"key":"e_1_3_2_5_2","volume-title":"UpToDate","author":"Goltzman D","year":"2025","unstructured":"Goltzman D. Clinical manifestations of hypocalcemia. In: Rosen CJ (ed) UpToDate. Waltham, Massachusetts, USA: Wolters Kluwer, 2025. Available from: https:\/\/www.uptodate.com\/contents\/clinical-manifestations-of-hypocalcemia#H2 accessed on Dec 4, 2025."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-012-0753-9"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365549709035911"},{"key":"e_1_3_2_8_2","first-page":"123","article-title":"Unusual presentation of malaria as tetany: a case report","volume":"47","author":"Zaki SA","year":"2010","unstructured":"Zaki SA, Shanbag P, Shenoy P. Unusual presentation of malaria as tetany: a case report. J Vector Borne Dis 2010; 47: 123\u2013125. PubMed.","journal-title":"J Vector Borne Dis"},{"key":"e_1_3_2_9_2","first-page":"3714","article-title":"Clinico-laboratory profile of severe pediatric scrub typhus","volume":"4","author":"Lurshay RM","year":"2016","unstructured":"Lurshay RM, Gogoi PR, Deb S. Clinico-laboratory profile of severe pediatric scrub typhus. Scholars J Appl Med Sci 2016; 4: 3714\u20133720.","journal-title":"Scholars J Appl Med Sci"},{"key":"e_1_3_2_10_2","article-title":"Antibiotics for treating scrub typhus","volume":"9","author":"El Sayed I","year":"2018","unstructured":"El Sayed I, Liu Q, Wee I, et al. Antibiotics for treating scrub typhus. Cochrane Database Syst Rev 2018; 9: CD002150.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1042\/cs0810297"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261467172","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261467172","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261467172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:16:33Z","timestamp":1789787793000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261467172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00494755261467172"],"URL":"https:\/\/doi.org\/10.1177\/00494755261467172","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]}}}