{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:30:42Z","timestamp":1786739442539,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Coronavirus disease 2019 (COVID-19) pandemic has emerged as the major public health threat in recent times. Although associated with high morbidity and mortality affecting all age groups across populations, \u201cpregnant women\u201d represent a subgroup that needs extra surveillance. We present the case of a primigravida in her advanced pregnancy presenting with acute febrile illness with flu-like symptoms. The clinico-radiological picture was suspicious for COVID-19; however, she tested negative for COVID-19 on two occasions. On further investigations, she tested positive for Scrub typhus (IgM-ELISA) and responded to treatment with doxycycline. However, due to the ongoing COVID-19 pandemic, much time was lost before suspecting and reaching the final diagnosis. Therefore, the patient had to suffer due to delayed medical intervention and intrauterine fetal death. Despite the unprecedented rise of COVID-19 in pregnant women in recent times, we should not forget about other tropical illnesses, which can mimic COVID-19 in clinical presentation and affect feto-maternal outcomes adversely.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2404_20","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T11:10:32Z","timestamp":1627557032000},"page":"2709-2712","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Outcome of scrub typhus in pregnancy during COVID-19 pandemic"],"prefix":"10.4103","volume":"10","author":[{"given":"Amrit","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalika","family":"Dubey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansi","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-45-20240828","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1002\/uog.22014","article-title":"Coronavirus in pregnancy and delivery: A rapid review","volume":"55","author":"Mullins","year":"2020","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R3-45-20240828","doi-asserted-by":"crossref","first-page":"177","DOI":"10.4103\/0022-3859.118033","article-title":"Eschar in scrub typhus: A valuable clue to the diagnosis","volume":"59","author":"Kundavaram","year":"2013","journal-title":"J Postgrad 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Goa","volume":"136","author":"Narvencar","year":"2012","journal-title":"Indian J Med Res"},{"key":"R9-45-20240828","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1093\/trstmh\/trx017","article-title":"Clinical manifestations of scrub typhus","volume":"111","author":"Rajapakse","year":"2017","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"R10-45-20240828","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S1995-7645(12)60036-4","article-title":"Scrub typhus: Pathophysiology, clinical manifestations, and prognosis","volume":"5","author":"Rajapakse","year":"2012","journal-title":"Asian Pac J Trop Med"},{"key":"R11-45-20240828","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1007\/s13205-020-02389-w","article-title":"Diagnosis of scrub typhus: Recent advancements and challenges","volume":"10","author":"Kala","year":"2020","journal-title":"3 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obstetrics","volume":"8","author":"Poomalar","year":"2014","journal-title":"J Clin Diagn Res"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2404_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:02Z","timestamp":1786735742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2404_20"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2404_20","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}