ArticleJournal of neurosciences in rural practice
Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: A hospital based study from North-East India.
Article in Journal of neurosciences in rural practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Neurological manifestations of scrub typhus infection: A systematic review and meta-analysis of clinical features and case fatality.PLoS neglected tropical diseases · 2022Pooled it
- Imaging in scrub typhus - a pictorial review.Abdominal radiology (New York) · 2026Review
- Acute Cerebellitis: A Rare Complication of Scrub Typhus.Annals of African medicine · 2026Article
- Abductor Palsy in Scrub Typhus: Authors' Reply.Indian journal of pediatrics · 2025Article
- Clinical profile and biochemical abnormalities in Scrub Typhus: A cross-sectional study.Annals of medicine and surgery (2012) · 2022Article
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- Diffusion tensor imaging analysis in scrub typhus meningoencephalitis to determine the alteration of microstructural subcortical white-matter integrity.The neuroradiology journal · 2021Article
- Seroprevalence & seroincidence ofThe Indian journal of medical research · 2020Article
- Scrub typhus with multi-organ dysfunction syndrome and immune thrombocytopenia: a case report and review of the literature.Journal of medical case reports · 2019Review
- Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings.The American journal of tropical medicine and hygiene · 2017Article
- Neurological Facets of Scrub Typhus: A Comprehensive Narrative Review.Annals of Indian Academy of NeurologyArticle
- A Case Series of Scrub Meningoencephalitis from a Tertiary Care Center in North India.Annals of Indian Academy of NeurologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledCentral nervous system (CNS) involvement is a known complication of scrub typhus which range from mild meningitis to frank meninigoencephalitis. AIMS AND
objectivesTo study the clinical feature, laboratory parameters and response to treatment of scrub typhus meningitis/meningoencephalitis. METHODS AND MATERIALS: This is a hospital based prospective observational study from North Eastern India. Diagnosis was based on clinical features and positive serological test (Weil's Felix test and IgM antibody card test).
results13 patients of scrub typhus with features of meningitis/meningoencephalitis were included. The mean duration of fever before presentation was 5.61±3.08 days and 4 (30.76 %) patients had eschar. Altered sensorium, headache, seizure and meningeal sign were present in 13 (100%), 13 (100%), 6 (46.15%) and 10 (76.92%) patients respectively. Mean CSF protein, glucose and Adenosine deaminase was 152.16±16.88mg/dl, 55.23±21.7mg/dl, and 16.98±7.37U/L respectively. Mean total count of CSF leukocyte and lymphocyte percentage was 46.07±131 cell/cumm and 98.66±3.09% respectively. Tablet doxycycline with or without injection azithromycin was used and that shows good response 15.38% of patients died and all of them had multi organ dysfunction.
conclusionMeningoencephalitis is a common manifestation of scrub typhus and diagnosis requires high degree of clinical suspicion which if diagnosed early and specific treatment started, patients usually recover completely with few complications.
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