{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:27Z","timestamp":1777877547223,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T00:00:00Z","timestamp":1621468800000},"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":["The Neurohospitalist"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Scrub typhus, an acute febrile infectious disease prevalent in the \u2018tsutsugamushi triangle\u2019, is a mite-born rickettsial zoonosis, caused by Orientia tsutsugamushi. The clinical presentation is protean and involves multiple organ systems of the body, including central and peripheral nervous systems. We report a 22-year-old previously healthy Indian woman who presented with clinical (confusion, excessive sleepiness, cognitive dysfunction and focal seizures) and neuroimaging features of limbic encephalitis. After exclusion of common infectious, autoimmune and paraneoplastic causes, she was diagnosed with scrub typhus associated encephalitis, which responded to doxycycline and azithromycin therapy.<\/jats:p>","DOI":"10.1177\/19418744211016107","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T05:06:11Z","timestamp":1621487171000},"page":"105-110","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Scrub Typhus Masquerading as Limbic Encephalitis"],"prefix":"10.1177","volume":"12","author":[{"given":"Subhrajyoti","family":"Biswas","sequence":"first","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8192-0807","authenticated-orcid":false,"given":"Ritwik","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipayan","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"},{"name":"Indian Institute of Technology (IIT), Madras, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrija","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of General Medicine, RG Kar Medical College & Hospital, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaustav","family":"De","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subrata","family":"Biswas","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinabandhu","family":"Naga","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-4809","authenticated-orcid":false,"given":"Juli\u00e1n","family":"Benito-Le\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital \u201c12 de Octubre\u201d, Madrid, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain"},{"name":"Department of Medicine, Complutense University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"key":"bibr1-19418744211016107","unstructured":"Farrar J, Manson P. 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