Title

Neurological manifestations of scrub typhus in a tertiary care hospital in India

Authors

P. Krishna Kusuma¹, A. Praveena², T. Ramya Sree¹, P. Vijayalakshmi^3,* & K. Sai Tanush¹

Affiliation

¹Department of General Medicine, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam Andhra Pradesh, India; ²Department of Anesthesiology and Critical Care, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam Andhra Pradesh, India; ³Department of Microbiology, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam Andhra Pradesh, India; *Corresponding author

Email

P. Krishna Kusuma - E-mail: krishnakusuma1991@gmail.com; Phone: +91 9491235675
A. Praveena - E-mail: anyapu.praveena@gmail.com; Phone: +91 9493201791
T. Ramya Sree - E-mail: ramyasree2k10@gmail.com; Phone: +91 8500648063
P. Vijayalakshmi - E-mail: bavisettyvijayalakshmi2@gmail.com; Phone: +91 7396814333
K. Sai Tanush - E-mail: tanush636@gmail.com; Phone: +91 8341855555

Article Type

Research Article

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026

Abstract

This research focuses on the neurological symptoms of scrub typhus; early diagnosis is important to enable timely medical intervention and improve outcomes. Therefore, it is of interest to evaluate patients with laboratory-confirmed scrub typhus and neurological manifestations at a tertiary care teaching hospital. Demographics, clinical information, laboratory results, CSF analysis, neuroimaging and treatment outcomes were collected and analyzed descriptively. Five patients with neurological manifestations of scrub typhus were evaluated, including peripheral motor axonal neuropathy, ischemic stroke and meningoencephalitis, with CSF and electrophysiological findings supporting the neurological diagnoses. Patients improved after doxycycline treatment and corticosteroids were given to those with severe neurological involvement.

Keywords

Acute febrile illness, cerebral infarction, meningoencephalitis, neurological manifestations, scrub typhus

Citation

Kusuma et al. Bioinformation 22(9): 5733-5736 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.