Scrub typhus is an acute febrile infectious illness caused by rickettsia species Orientia tsutsugamushi. In recent years, scrub typhus has reemerged as a life-threatening disease in India Scrub typhus has diverse clinical manifestations ranging from a nonspecific febrile illness to severe multiorgan dysfunction, and neurological complications are also common. Spectrum of neurological complications varies from common complications such as aseptic meningitis, meningoencephalitis and cerebellitis to rare complications such as myelitis, cerebral hemorrhage, acute disseminated encephalomyelitis (ADEM), and cerebral infarction. Scrub typhus is not a common cause of acute febrile illness in state like Rajasthan, but has emerged as a life-threatening disease in recent years along with dreaded neurological complications. This case series highlights various neurological manifestations of scrub typhus as early diagnosis and treatment of neurological complications have good prognosis.

中文翻译：

---

斑疹伤寒的神经系统表现：东南拉贾斯坦邦三级医院的一个病例系列

斑疹伤寒是由立克次体种Or虫东方ient引起的急性发热性传染病。近年来，印度斑疹伤寒再次成为威胁生命的疾病。斑疹伤寒具有多种临床表现，从非特异性发热性疾病到严重的多器官功能障碍，神经系统并发症也很常见。神经系统并发症的范围从常见的并发症（如无菌性脑膜炎，脑膜脑炎和小脑炎）到罕见的并发症（如脊髓炎，脑出血，急性弥漫性脑脊髓炎（ADEM）和脑梗塞）不等。在拉贾斯坦邦等州，灌木斑疹伤寒并不是引起急性高热疾病的常见原因，但近年来，随着严重的神经系统并发症，它已成为威胁生命的疾病。