{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:38:32Z","timestamp":1790800712734,"version":"4.1.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>\n                    Scrub typhus is an acute febrile illness caused by the bacterium\n                    <jats:italic toggle=\"yes\">Orientia tsutsugamushi<\/jats:italic>\n                    . It usually presents with high-grade fever, body aches, and skin rash. We report the case of a woman who presented with acute febrile illness, bilateral pneumonia, and severe hypoxemia. The presence of a typical eschar on the abdomen, made us suspect scrub typhus. Anti-\n                    <jats:italic toggle=\"yes\">O. tsutsugamushi<\/jats:italic>\n                    Immunoglobulin M (IgM) antibody in the serum was detected in significant titers. She was treated with intravenous doxycycline and supplemental oxygen. Thus, scrub typhus should be considered in the differential diagnosis of febrile illness with acute respiratory distress syndrome.\n                  <\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1130_22","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T08:20:08Z","timestamp":1676535608000},"page":"165-167","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Acute respiratory distress syndrome in Scrub typhus \u2013 An under recognized complication!"],"prefix":"10.4103","volume":"12","author":[{"given":"Sangita","family":"Kamath","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Tata Main Hospital, Tata Steel, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tauheed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tata Main Hospital, Tata Steel, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tata Main Hospital, Tata Steel, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Sunder","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tata Main Hospital, Tata Steel, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.4103\/jfmpc.jfmpc_124_19","article-title":"Scrub typhus:Overview of demographic variables, clinical profile, and diagnostic issues in the sub-Himalayan region of India and its comparison to other Indian and Asian studies","volume":"8","author":"Pathania","year":"2019","journal-title":"J Family Med Prim 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Microbiol"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/QCO.0000000000000664","article-title":"Scrub typhus:A reemerging infection","volume":"33","author":"John","year":"2020","journal-title":"Curr Opin Infect Dis"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.2169\/internalmedicine.51.7816","article-title":"Meta-analysis of drug treatment for scrub typhus in Asia","volume":"51","author":"Fang","year":"2012","journal-title":"Intern Med"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1130_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:05:15Z","timestamp":1787760315000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1130_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1130_22","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-05-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}