{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:47:15Z","timestamp":1785509235044,"version":"3.56.0"},"reference-count":42,"publisher":"Scientific Scholar","issue":"03","license":[{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"vor","delay-in-days":794,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Scrub typhus is caused by Orientia tsutsugamushi characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillan-Barr\u00e9 syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature.<\/jats:p>","DOI":"10.4103\/jnrp.jnrp_44_17","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T14:36:03Z","timestamp":1497364563000},"page":"421-426","source":"Crossref","is-referenced-by-count":50,"title":["Neuropsychiatric Manifestations of Scrub Typhus"],"prefix":"10.25259","volume":"08","author":[{"given":"Sanjay K.","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Medicine, I.G. Medical College, Shimla, Himachal Pradesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanyam K.","family":"Mahajan","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,3]]},"reference":[{"key":"key-10.4103\/0976-3147.207976-1","unstructured":"Cowan GO. Rickettsial infections. In: Gordon C, editor. Manson's Tropical Diseases. 21st ed., Vol. 50. London: Saunders Elsevier Science, Health Sciences Division; 2003. p. 891-906."},{"key":"key-10.4103\/0976-3147.207976-2","unstructured":"Watt G. Scrub typhus. In: Warrel DA, Cox TM, Firth JD, Benz EJ Jr, editors. Oxford Textbook of Medicine. 4th ed., Vol. 1. Oxford: Oxford University Press; 2003. p. 629-31."},{"key":"key-10.4103\/0976-3147.207976-3","first-page":"954","volume-title":"Scrub typhus","author":"Mahajan","year":"2005","journal-title":"J Assoc Physicians India"},{"key":"key-10.4103\/0976-3147.207976-4","first-page":"1641","volume-title":"Scrub typhus involving central nervous system, India, 2004-2006","author":"Mahajan","year":"2010","journal-title":"Emerg Infect Dis"},{"key":"key-10.4103\/0976-3147.207976-5","first-page":"497","volume-title":"Comparative evaluation of selected diagnostic assays for the detection of IgG and IgM antibody to Orientia tsutsugamushi in Thailand","author":"Coleman","year":"2002","journal-title":"Am J Trop Med Hyg"},{"key":"key-10.4103\/0976-3147.207976-6","first-page":"323","volume-title":"Invasion of the central nervous system by intracellular bacteria","author":"Drevets","year":"2004","journal-title":"Clin Microbiol 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