Scrub typhus is a zoonotic disease, which is characterized by an acute febrile illness, lymphadenopathy, eschar, multisystem involvement, and a rapid response to doxycycline. It is found widely in Asia and Pacific islands. Various neurological manifestations, like meningoencephalitis, cranial nerve involvement, are known to occur. Diagnosis is based on a high clinical suspicion, presence of eschar and serological tests. Prompt diagnosis and management can prevent morbidity and mortality, as it has a rapid response to doxycycline. However, due to underdiagnosis, it has often been called as the ‘forgotten killer’.
Part of the book: Meningoencephalitis