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：

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恙虫病的神经系统表现：拉贾斯坦邦东南部三级护理医院的病例系列


恙虫病是由东方恙虫病立克次体引起的急性发热性传染病。近年来，恙虫病在印度重新成为一种危及生命的疾病。恙虫病具有多种临床表现，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多种多样，从无菌性脑膜炎、脑膜脑炎和小脑炎等常见并发症到脊髓炎、脑出血、急性播散性脑脊髓炎（ADEM）和脑梗塞等罕见并发症。在拉贾斯坦邦这样的邦，恙虫病并不是急性发热性疾病的常见原因，但近年来已成为一种危及生命的疾病，并伴随着可怕的神经并发症。本病例系列强调了恙虫病的各种神经系统表现，早期诊断和治疗神经系统并发症有良好的预后。