{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:04:37Z","timestamp":1787169877766,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"\n Scrub typhus is almost an endemic tropical mite-borne, zoonotic illness often cognate with the bacterium\n Orientia tsutsugamushi<\/jats:italic>\n . After a typical incubation period of a fortnight, non-specific symptoms including fever, headache, and a specific skin \u2018eschar\u2019 is customary. If untreated after a symptomatic week, scrub typus may precipitate end-organ involvements spiraling into vivid complications. Nevertheless, crub typhus tends to display mild transaminitis, frank liver failure is hardly common in clinical practice. An instance of scrub typus triggering fulminant hepatic failure (FHF) in a middle-aged female is being reported here.\n <\/jats:p>","DOI":"10.4103\/0972-9062.374042","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T10:01:41Z","timestamp":1681120901000},"page":"333-335","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Scrub typus fulminating as liver failure: A rare report"],"prefix":"10.4103","volume":"60","author":[{"given":"Subramani","family":"Jagadeesan","sequence":"first","affiliation":[{"name":"Medicine, Venkateshwara Institute of Medical Sciences, Gajraula, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranav","family":"Patel","sequence":"additional","affiliation":[{"name":"Acute Medicine, North Middlesex University Hospital, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushpendra","family":"Kushwaha","sequence":"additional","affiliation":[{"name":"Internal Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nehal","family":"Patidar","sequence":"additional","affiliation":[{"name":"Internal Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"issue":"1","key":"R1-20240830","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3390\/tropicalmed3010011","article-title":"Scrub Typhus: No Longer Restricted to the Tsutsugamushi Triangle.","volume":"3","author":"Jiang","year":"2018","journal-title":"Trop Med Infect 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Encephalopathy: Definition, Clinical Grading and Diagnostic Principles","volume":"7P","author":"Weissenborn","year":"2019","journal-title":"Drugs"},{"issue":"12","key":"R6-20240830","doi-asserted-by":"crossref","first-page":"526","DOI":"10.32677\/ijcr.v7i12.3178","article-title":"Scrub typhus, a rare of cause of fulminant hepatic failure: A common disease with uncommon presentation.","volume":"7","author":"Jagadeesan","year":"2022","journal-title":"Indian Journal of Case Reports"},{"issue":"9","key":"R7-20240830","first-page":"e10191","article-title":"Scrub Typhus Leading to Acute Liver Failure in a Pregnant Patient.","volume":"12","author":"Gaba","year":"2020","journal-title":"Cureus"},{"issue":"4","key":"R8-20240830","doi-asserted-by":"crossref","first-page":"667","DOI":"10.4269\/ajtmh.2005.73.667","article-title":"Short report: Abnormal liver function in scrub typhus.","volume":"75","author":"Hu","year":"2005","journal-title":"Am J Trop Med Hyg"},{"issue":"4","key":"R9-20240830","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1007\/s12328-009-0087-7","article-title":"Autopsy case of acute liver failure due to scrub typhus.","volume":"2","author":"Shioi","year":"2009","journal-title":"Clin J Gastroenterol"}],"container-title":["Journal of Vector Borne Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0972-9062.374042","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:14:24Z","timestamp":1787166864000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0972-9062.374042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/0972-9062.374042","relation":{},"ISSN":["0972-9062"],"issn-type":[{"value":"0972-9062","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2021-04-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}