{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T18:46:29Z","timestamp":1791744389762,"version":"4.3.4"},"reference-count":92,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Scrub typhus is the oldest known vector-borne zoonotic infectious disease in the world which is life-threatening for all age groups as it presents acute febrile illness along with multi-organ involvements and spread with the biting of infectious \u2018Trombiculid mite\u2019 (chigger mite). The pathogen of this disease is an obligatory coccobacillus gram-negative rickettsial bacteria\n                      <jats:italic toggle=\"yes\">Orientia tsutsugamushi<\/jats:italic>\n                      . Scrub typhus disease was previously confined geographically only to the Asia Pacific region (tsutsugamushi triangle), but in recent years it has crossed its limit and has spread in other countries beyond the tsutsugamushi triangle and has become more hazardous for the community. The objective of this study is to explore the scrub typhus disease outbreak trends with existing information in southern Rajasthan state, India. This study concluded that scrub typhus disease is being re-emerged again and again in various Indian geographical regions with new species of vectors. The disease has been raised in tremendous amounts in Rajasthan within the last five years especially in the hilly zone and has led to major public health problems with other zoonotic diseases.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0972-9062.342357","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T07:15:41Z","timestamp":1648710941000},"page":"303-311","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Emerging trends of scrub typhus disease in southern Rajasthan, India"],"prefix":"10.4103","volume":"59","author":[{"given":"Devendra","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saha Dev","family":"Jakhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R3-1-20240830","doi-asserted-by":"crossref","first-page":"170","DOI":"10.3389\/fcimb.2012.00170","article-title":"Approaches to vaccines against Orientia tsutsugamushi","volume":"2","author":"Valbuena","year":"2013","journal-title":"Front Cell Infect Microbiol"},{"key":"R4-1-20240830","doi-asserted-by":"crossref","first-page":"301","DOI":"10.4269\/ajtmh.13-0064","article-title":"Unresolved problems related to scrub typhus: A seriously neglected life-threatening disease","volume":"89","author":"Paris","year":"2013","journal-title":"Am J Trop Med Hyg"},{"key":"R5-1-20240830","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S0169-4758(97)01020-X","article-title":"Drug-resistant scrub typhus: Paradigm and paradox","volume":"13","author":"Rosenberg","year":"1997","journal-title":"Parasitol Today"},{"key":"R6-1-20240830","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1016\/S0140-6736(00)02728-8","article-title":"Doxycycline and rifampicin for mild scrub-typhus infections in northern Thailand: A randomized trial","volume":"356","author":"Watt","year":"2000","journal-title":"Lancet"},{"key":"R7-1-20240830","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1086\/596576","article-title":"Scrub typhus: the geographic distribution of phenotypic and genotypic variants of Orientia tsutsugamushi","volume":"48","author":"Kelly","year":"2009","journal-title":"Clin Infect Dis"},{"key":"R8-1-20240830","first-page":"3971","article-title":"A systematic review of mortality from untreated scrub typhus (Orientia tsutsugamushi)","volume":"9","author":"Taylor","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"R9-1-20240830","doi-asserted-by":"crossref","first-page":"774","DOI":"10.3201\/eid1905.121445","article-title":"Scrub typhus outbreak, northern Thailand, 2006-2007","volume":"19","author":"Rodkvamtook","year":"2013","journal-title":"Emerg Infect Dis"},{"key":"R14-1-20240830","first-page":"69","article-title":"Epidemiological survey by means of complement fixation test on scrub typhus in Japan","volume":"15","author":"Kitaoka","year":"1967","journal-title":"Acta Med Biol (Niigata"},{"key":"R15-1-20240830","first-page":"257","article-title":"The investigation of scrub typhus in the USSR","volume":"12","author":"Kulagin","year":"1968","journal-title":"J Hyg Epidemiol Microbiol Immunol"},{"key":"R16-1-20240830","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/jmedent\/11.3.237","article-title":"The ecology of chigger-borne rickettsioses (scrub typhus)","volume":"11","author":"Traub","year":"1974","journal-title":"J Med Entomol"},{"key":"R17-1-20240830","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.4269\/ajtmh.1978.27.1261","article-title":"Identification and antigenic typing of Rickettsia tsutsugamushi in naturally infected chiggers (Acarina: Trombiculidae) by direct immunofluorescence","volume":"27","author":"Dohany","year":"1978","journal-title":"Am J Trop Med Hyg"},{"key":"R18-1-20240830","doi-asserted-by":"crossref","first-page":"395","DOI":"10.4269\/ajtmh.1982.31.395","article-title":"Characterization of Rickettsia tsutsugamushi strains in two species of naturally infected, laboratory-reared chiggers","volume":"31","author":"Shirai","year":"1982","journal-title":"Am J Trop Med Hyg"},{"key":"R19-1-20240830","first-page":"1","article-title":"Scrub typhus","volume":"21","author":"Oaks","year":"1983","journal-title":"Institute for Medical Research Malaysia Bulletin"},{"key":"R20-1-20240830","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1093\/infdis\/149.3.330","article-title":"Rickettsial diseases of the Far East: new perspectives","volume":"149","author":"Rapmund","year":"1984","journal-title":"J Infect Dis"},{"key":"R21-1-20240830","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1093\/clinids\/9.4.823","article-title":"Epidemiology and ecology of rickettsial diseases in the People's Republic of China","volume":"9","author":"Fan","year":"1987","journal-title":"Rev Infect Dis"},{"key":"R22-1-20240830","first-page":"91","article-title":"Recent findings on vector Acari for rickettsia and spirochete in Japan","volume":"46","author":"Takada","year":"1995","journal-title":"Japanese Journal of Sanitary Zoology"},{"key":"R23-1-20240830","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1093\/jmedent\/34.3.368","article-title":"A new species of Leptotrombidium (Acari: Trombiculidae) collected in active rice fields in northern Thailand","volume":"34","author":"Tanskul","year":"1997","journal-title":"J Med Entomol"},{"key":"R24-1-20240830","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1093\/jmedent\/36.1.88","article-title":"Redescription of Leptotrombidium (Leptotrombidium) imphalum (Acari: Trombiculidae), with observations on bionomics and medical importance in northern Thailand","volume":"36","author":"Tanskul","year":"1999","journal-title":"J Med Entomol"},{"key":"R25-1-20240830","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.trstmh.2009.02.006","article-title":"Scrub typhus in Darjeeling, India: opportunities for simple, practical prevention measures","volume":"103","author":"Sharma","year":"2009","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"R26-1-20240830","doi-asserted-by":"crossref","first-page":"92","DOI":"10.4103\/0019-557X.85239","article-title":"Emergence of Schoengastiella ligula as the vector of scrub typhus outbreak in Darjeeling: has Leptotrombidiumdeliense been replaced?","volume":"55","author":"Tilak","year":"2011","journal-title":"Indian J Public Health"},{"key":"R27-1-20240830","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1146\/annurev.en.06.010161.001253","article-title":"Biology of chiggers","volume":"6","author":"Sasa","year":"1961","journal-title":"Annu Rev Entomol"},{"key":"R29-1-20240830","first-page":"954","article-title":"Scrub typhus","volume":"53","author":"Mahajan","year":"2005","journal-title":"J Assoc Physicians India"},{"key":"R30-1-20240830","first-page":"284","article-title":"Scrub Typhus\u2013A short review","volume":"36","author":"Gupta","year":"2004","journal-title":"J Commun Dis"},{"key":"R31-1-20240830","doi-asserted-by":"crossref","first-page":"26","DOI":"10.7326\/0003-4819-79-1-26","article-title":"Scrub typhus in South Vietnam","volume":"79","author":"Berman","year":"1973","journal-title":"Ann Intern Med"},{"key":"R32-1-20240830","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/00019048-199705000-00017","article-title":"Scrub typhus in an American living in Jakarta, Indonesia: A case report","volume":"6","author":"Richards","year":"1997","journal-title":"Infect Dis Clin Pract"},{"key":"R33-1-20240830","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/S0140-6736(45)91944-1","article-title":"Tsutsugamushi fever on the India-Burma border","volume":"2","author":"Tattersall","year":"1945","journal-title":"Lancet"},{"key":"R34-1-20240830","doi-asserted-by":"crossref","first-page":"586","DOI":"10.18203\/2349-3933.ijam20162499","article-title":"A study on demographic, clinical profile and outcome of scrub typhus","volume":"3","author":"Philomena","year":"2016","journal-title":"Int J Adv Med"},{"key":"R37-1-20240830","doi-asserted-by":"crossref","first-page":"478","DOI":"10.4103\/ijd.IJD_388_17","article-title":"Scrub typhus: An emerging threat","volume":"62","author":"Chakraborty","year":"2017","journal-title":"Indian J Dermatol"},{"key":"R38-1-20240830","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/1471-2334-14-139","article-title":"Meteorological factors and risk of scrub typhus in Guangzhou, southern China, 2006\u20132012","volume":"14","author":"Li","year":"2014","journal-title":"BMC Infect Dis"},{"key":"R39-1-20240830","first-page":"241","article-title":"Fevers of the typhus group in the Bhim Tal area, Kumaun hills, UP, India","volume":"70","author":"Blewitt","year":"1938","journal-title":"JR Army Med Corps"},{"key":"R41-1-20240830","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1148\/rg.271065074","article-title":"Scrub typhus: clinical, pathologic, and imaging findings","volume":"27","author":"Jeong","year":"2007","journal-title":"Radiographics"},{"key":"R42-1-20240830","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1111\/j.1708-8305.2007.00151.x","article-title":"Travel acquired scrub typhus: emphasis on the differential diagnosis, treatment, and prevention strategies","volume":"14","author":"Nachega","year":"2007","journal-title":"J Travel Med"},{"key":"R43-1-20240830","first-page":"240","article-title":"Serious complications in scrub typhus","volume":"31","author":"Tsay","year":"1998","journal-title":"J Microbiol Immunol"},{"key":"R44-1-20240830","first-page":"19","article-title":"Clinical manifestations and complications of scrub typhus: a hospital-based study from north eastern India","volume":"62","author":"Jamil","year":"2014","journal-title":"J Assoc Phys India"},{"key":"R46-1-20240830","doi-asserted-by":"crossref","first-page":"4236","DOI":"10.18203\/2320-6012.ijrms20163284","article-title":"Chiggerosis: an emerging disease","volume":"10","author":"Meena","year":"2016","journal-title":"International Res J Med Sci"},{"key":"R47-1-20240830","doi-asserted-by":"crossref","first-page":"169","DOI":"10.2307\/3273264","article-title":"Tsutsugamushi disease (scrub typhus) in World War II","volume":"34","author":"Philip","year":"1948","journal-title":"J Parasitol"},{"key":"R48-1-20240830","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1093\/oxfordjournals.aje.a112448","article-title":"Rickettsia tsutsugamushi infection and scrub typhus incidence among Chinese military personnel in the Pescadores Islands","volume":"106","author":"Olson","year":"1977","journal-title":"Am J Epidemiol"},{"key":"R49-1-20240830","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1086\/339908","article-title":"The past and present threat of rickettsial diseases to military medicine and international public health","volume":"34","author":"Kelly","year":"2002","journal-title":"Clin Infect Dis"},{"key":"R50-1-20240830","doi-asserted-by":"crossref","first-page":"387","DOI":"10.4103\/0255-0857.142241","article-title":"Possibility of scrub typhus in fever of unknown origin (FUO) cases: An experience from Rajasthan","volume":"32","author":"Bithu","year":"2014","journal-title":"Indian J Med Microbiol"},{"key":"R51-1-20240830","first-page":"24","article-title":"Analysis of Two Outbreaks of Scrub Typhus in Rajasthan A Clinico epidemiological Study","volume":"62","author":"Sharma","year":"2014","journal-title":"J Assoc Physicians India"},{"key":"R52-1-20240830","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.ijid.2014.02.009","article-title":"Clinical profile and improving mortality trend of scrub typhus in South India","volume":"23","author":"Varghese","year":"2014","journal-title":"Int J Infect Dis"},{"key":"R56-1-20240830","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/j.1749-6632.2009.04514.x","article-title":"Epidemiology and clinical aspects of rickettsioses in Thailand","volume":"1166","author":"Suputtamongkol","year":"2009","journal-title":"Ann N Y Acad Sci"},{"key":"R59-1-20240830","first-page":"23","article-title":"Scrub typhus","volume":"20","author":"Singharaj","year":"1997","journal-title":"Ann Trop Med Parasit"},{"key":"R61-1-20240830","doi-asserted-by":"crossref","first-page":"4404","DOI":"10.1128\/JCM.01526-10","article-title":"Isolation of a novel Orientia species (O. chuto sp. nov.) from a patient infected in Dubai","volume":"48","author":"Izzard","year":"2010","journal-title":"J Clin Microbiol"},{"key":"R62-1-20240830","first-page":"8","article-title":"A review of scrub typhus (Orientia tsutsugamushi and related organisms): then, now, and tomorrow","volume":"3","author":"Luce-Fedrow","year":"2018","journal-title":"Trop Med Int Health"},{"key":"R63-1-20240830","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.3201\/eid1210.051697","article-title":"Scrub typhus in Himalayas","volume":"12","author":"Mahajan","year":"2006","journal-title":"Emerg Infect Dis"},{"key":"R64-1-20240830","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.mjafi.2018.12.018","article-title":"Scrub typhus strikes back: Are we ready?","volume":"75","author":"Tilak","year":"2019","journal-title":"Med J Armed Forces India"},{"key":"R65-1-20240830","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1080\/00034983.2001.11813652","article-title":"Serological evidence for the continued presence of human rickettsioses in Southern India","volume":"95","author":"Mathai","year":"2001","journal-title":"Ann Trop Med Parasitol"},{"key":"R66-1-20240830","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/j.1749-6632.2003.tb07391.x","article-title":"Outbreak of scrub typhus in South India during the cooler months","volume":"990","author":"Mathai","year":"2003","journal-title":"Ann N Y Acad Sci"},{"key":"R67-1-20240830","first-page":"277","article-title":"Outbreak investigation of scrub typhus in Himachal Pradesh (India)","volume":"36","author":"Kumar","year":"2004","journal-title":"J Commun Dis"},{"key":"R68-1-20240830","doi-asserted-by":"crossref","first-page":"208","DOI":"10.7883\/yoken.JJID.2005.208","article-title":"Investigation of an outbreak of scrub typhus in the Himalayan region of India","volume":"58","author":"Sharma","year":"2005","journal-title":"Jpn J Infect Dis"},{"key":"R69-1-20240830","first-page":"98","article-title":"Scrub typhus: Jammu outbreak 2009","volume":"12","author":"Annil","year":"2012","journal-title":"Journal of Medical Education & Research"},{"key":"R70-1-20240830","doi-asserted-by":"crossref","first-page":"247","DOI":"10.4103\/0255-0857.136552","article-title":"Recent outbreak of scrub typhus in North Western part of India","volume":"32","author":"Sinha","year":"2014","journal-title":"Indian J Med Microbiol"},{"key":"R71-1-20240830","first-page":"279","article-title":"Scrub typhus - A report of six cases","volume":"49","author":"Mehta","year":"1993","journal-title":"Med J Armed Forces India"},{"key":"R72-1-20240830","first-page":"277","article-title":"Scrub typhus: Two interesting cases","volume":"49","author":"Chauhan","year":"1993","journal-title":"Med J Armed Forces India"},{"key":"R73-1-20240830","first-page":"84","article-title":"Resurgence of scrub typhus","volume":"48","author":"Singh","year":"1992","journal-title":"Med J Armed Forces India"},{"key":"R74-1-20240830","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S0377-1237(03)80054-0","article-title":"Surveillance of scrub typhus in the fringe areas around Pune: Potential for transmission does exist","volume":"59","author":"Bhalwar","year":"2003","journal-title":"Med J Armed Forces India"},{"key":"R75-1-20240830","first-page":"413","article-title":"Scrub typhus: A case report","volume":"69","author":"Rajagopal","year":"2003","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R76-1-20240830","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0377-1237(04)80174-6","article-title":"Scrub typhus: A case report. Military and regional significance","volume":"60","author":"Singh","year":"2004","journal-title":"Med J Armed Forces India"},{"key":"R77-1-20240830","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1086\/424748","article-title":"Scrub typhus: Prevalence and diagnostic issues in rural South India","volume":"39","author":"Isaac","year":"2004","journal-title":"Clin Infect Dis"},{"key":"R78-1-20240830","first-page":"333","article-title":"Emerging infections in Kerala: A case of scrub typhus","volume":"22","author":"Ittyachen","year":"2009","journal-title":"Natl Med J India"},{"key":"R80-1-20240830","first-page":"512","article-title":"Acute reversible hearing loss in scrub typhus","volume":"55","author":"Mahajan","year":"2007","journal-title":"J Assoc Physicians India"},{"key":"R81-1-20240830","first-page":"65","article-title":"Study on morphological and biological differences between two types of Trombiculadeliensis Walch","volume":"9","author":"Y\u00dc","year":"1959","journal-title":"Acta Entomologica Sinica"},{"key":"R82-1-20240830","first-page":"96","article-title":"A study of the chigger mites and their hosts from Xisha Archipelago, China (Acarina: Trombiculidae)","volume":"29","author":"Zhao","year":"1986","journal-title":"Acta Entomologica Sinica"},{"key":"R85-1-20240830","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/00001432-200310000-00009","article-title":"Scrub typhus and tropical rickettsioses","volume":"16","author":"Watt","year":"2003","journal-title":"Curr Opin Infect Dis"},{"key":"R86-1-20240830","doi-asserted-by":"crossref","first-page":"e0004161","DOI":"10.1371\/journal.pntd.0004161","article-title":"A spatiotemporal database to track human scrub typhus using the Vector Map Application","volume":"9","author":"Kelly","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"R87-1-20240830","doi-asserted-by":"crossref","first-page":"442","DOI":"10.4269\/ajtmh.2009.80.442","article-title":"A community-based case-control study of behavioral factors associated with scrub typhus during the autumn epidemic season in South Korea","volume":"80","author":"Kweon","year":"2009","journal-title":"Am J Trop Med Hyg"},{"key":"R88-1-20240830","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4269\/ajtmh.2002.67.162","article-title":"Scrub typhus in Japan: epidemiology and clinical features of cases reported in 1998","volume":"67","author":"Ogawa","year":"2002","journal-title":"Am J Trop Med Hyg"},{"key":"R89-1-20240830","first-page":"197","article-title":"Evaluation of national tsutsugamushi disease surveillance-Japan","volume":"55","author":"Matsui","year":"2002","journal-title":"Jpn J Infect Dis"},{"key":"R91-1-20240830","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/00005792-194605000-00003","article-title":"Scrub Typhus in Assam and Burma; A Clinical Study of 616 Cases","volume":"25","author":"Sayen","year":"1946","journal-title":"Medicine (Baltimore"},{"key":"R92-1-20240830","first-page":"569","article-title":"Natural History of Typhus Fevers in India","volume":"6","author":"Kalra","year":"1952","journal-title":"Indian J Med Sci"},{"key":"R93-1-20240830","doi-asserted-by":"crossref","first-page":"208","DOI":"10.7883\/yoken.JJID.2005.208","article-title":"Investigation of an outbreak of scrub typhus in the Himalayan region of India","volume":"58","author":"Sharma","year":"2005","journal-title":"Jpn J Infect Dis"},{"key":"R94-1-20240830","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.3201\/eid1210.051697","article-title":"Scrub typhus in Himalayas","volume":"72","author":"Mahajan","year":"2006","journal-title":"Emerg Infect Dis"},{"key":"R95-1-20240830","first-page":"169","article-title":"An outbreak of scrub typhus in Bishnupur District of Manipur, India, 2007","volume":"40","author":"Singh","year":"2010","journal-title":"Trop Dr"},{"key":"R96-1-20240830","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s12098-008-0198-z","article-title":"Pediatric scrub typhus in Indian Himalayas","volume":"75","author":"Mahajan","year":"2008","journal-title":"Indian J Pediatr"},{"key":"R97-1-20240830","first-page":"24","article-title":"Outbreak of scrub typhus in Pondicherry","volume":"58","author":"Vivekanandan","year":"2010","journal-title":"J Assoc Physicians India"},{"key":"R98-1-20240830","first-page":"1020","article-title":"Scrub typhus in patients reporting with acute febrile illness at a tertiary health care institution in Goa","volume":"136","author":"Narvencar","year":"2012","journal-title":"Indian J Med Res"},{"key":"R99-1-20240830","doi-asserted-by":"crossref","first-page":"e981","DOI":"10.1016\/j.ijid.2013.05.017","article-title":"Scrub typhus in South India: clinical and laboratory manifestations, genetic variability, and outcome","volume":"17","author":"Dass","year":"2013","journal-title":"Int J Infect Dis"},{"key":"R100-1-20240830","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1007\/s12098-011-0470-5","article-title":"Characteristics of pediatric scrub typhus during an outbreak in the north eastern region of India: Peculiarities in clinical presentation, laboratory findings and complications","volume":"78","author":"Dass","year":"2011","journal-title":"Indian J Pediatr"},{"key":"R101-1-20240830","doi-asserted-by":"crossref","first-page":"e889","DOI":"10.1016\/j.ijid.2012.05.1030","article-title":"Re-emergence of scrub typhus in northeast India","volume":"16","author":"Khan","year":"2012","journal-title":"Int J Infect Dis"},{"key":"R102-1-20240830","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4103\/0255-0857.108729","article-title":"Outbreak of scrub typhus in the North East Himalayan region-Sikkim: an emerging threat","volume":"31","author":"Gurung","year":"2013","journal-title":"Indian J Med Microbiol"},{"key":"R103-1-20240830","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/s12098-014-1664-4","article-title":"Scrub typhus: Audit of an outbreak","volume":"82","author":"Krishna","year":"2015","journal-title":"Indian J Pediatr"},{"key":"R104-1-20240830","doi-asserted-by":"crossref","first-page":"e66595","DOI":"10.1371\/journal.pone.0066595","article-title":"Scrub Typhus Meningitis in South India - a retrospective study","volume":"8","author":"Viswanathan","year":"2013","journal-title":"PLos One"},{"key":"R105-1-20240830","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/s40249-016-0186-x","article-title":"Clinical and paraclinical profile, and predictors of outcome in 90 cases of scrub typhus, Meghalaya, India","volume":"5","author":"Sivarajan","year":"2016","journal-title":"Infect Dis Poverty"},{"key":"R106-1-20240830","doi-asserted-by":"crossref","first-page":"247","DOI":"10.4103\/0255-0857.136552","article-title":"Recent outbreak of scrub typhus in north western part of India","volume":"32","author":"Sinha","year":"2014","journal-title":"Indian J Med Microbiol"},{"key":"R108-1-20240830","doi-asserted-by":"crossref","first-page":"591","DOI":"10.4103\/0971-5916.171289","article-title":"Outbreak of scrub typhus in Puducherry & Tamil Nadu during cooler months","volume":"142","author":"Stephen","year":"2015","journal-title":"Indian J Med Res"},{"key":"R109-1-20240830","doi-asserted-by":"crossref","first-page":"447","DOI":"10.4269\/ajtmh.16-0086","article-title":"Scrub typhus in a tertiary care hospital in North India","volume":"95","author":"Sharma","year":"2016","journal-title":"Am J Trop Med Hyg"},{"key":"R110-1-20240830","first-page":"69","article-title":"Scrub typhus: A prospective, observational study during an outbreak in Rajasthan, India","volume":"30","author":"Takhar","year":"2017","journal-title":"Natl Med J India"},{"key":"R111-1-20240830","first-page":"Mc01","article-title":"A study of etiological pattern in an epidemic of acute febrile illness during monsoon in a tertiary health care institute of Uttarakhand, India","volume":"8","author":"Singh","year":"2014","journal-title":"J Clin Diag Res JCDR"},{"key":"R112-1-20240830","first-page":"490","article-title":"Outbreak of scrub typhus in Andhra Pradesh-Experience at a tertiary care hospital","volume":"62","author":"Subbalaxmi","year":"2014","journal-title":"J Assoc Physicians India"},{"key":"R113-1-20240830","first-page":"597","article-title":"Molecular characterization of Orientia tsutsugamushi serotypes causing scrub typhus outbreak in southern region of Andhra Pradesh, India","volume":"144","author":"Usha","year":"2016","journal-title":"Indian J Med Res"},{"key":"R114-1-20240830","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1007\/s13312-019-1519-1","article-title":"Profile of Pediatric Scrub Typhus in Odisha, India","volume":"56","author":"Bal","year":"2019","journal-title":"Indian Pediatrics"}],"container-title":["Journal of Vector Borne Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0972-9062.342357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:43Z","timestamp":1787166703000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0972-9062.342357"}},"subtitle":["A neglected public health problem"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":92,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/0972-9062.342357","relation":{},"ISSN":["0972-9062"],"issn-type":[{"value":"0972-9062","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}