Swati Chandramouli Assistant Professor & Consultant, Department of Psychiatry, Ramaiah Medical College, Bangalore, Karnataka, India
Hemendra Singh Associate Professor & Consultant, Department of Psychiatry, Ramaiah Medical College, Bangalore, Karnataka, India
Address for correspondence: Swati Chandramouli, Assistant Professor & Consultant, Department of Psychiatry, Ramaiah Medical College, Bangalore, Karnataka, India E-mail: swaticrs@gmail.com
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Swati Chandramouli, Hemendra Singh. Scrub Typhus With Psychosis. RFP Ind Jr of Med Psy. 2025; 8(2): 69-71
Timeline
Received : November 06, 2025
Accepted : December 09, 2025
Published : December 30, 2025
Abstract
Scrub typhus is a vector borne febrile illness caused by Orientia tsutsugamushi. Psychiatric manifestations in the absence of organic pathology associated with scrub typhus is rare. Here is a 20-year-old female who had acute febrile illness. Within 1 week of onset of illness patient developed visual hallucinations, auditory hallucinations, persecutory delusions and referential ideation. Lab investigation positive for O. tsutsugamushi Ig M, CSF analysis and MRI brain were normal. Diagnosis of Organic hallucinosis and Scrub typhus was made and treated with
risperidone doxycycline and paracetamol. Acute psychosis is a rare complication of scrub typhus which may require independent treatment.
References
1. Farrar J, Hotez P, Junghanss T, Kang G, Lalloo D, White NJ. Manson’s Tropical Diseases E-Book. Elsevier Health Sciences; 2013. 1664 p.
2. Mahajan SK, Kaushik M, Raina R, Sharma RC, Thakur P, Bharat Sharma J. Scrub typhus with visual hallucinations. Trop Doct [Internet]. 2015 Apr 1 [cited 2021 Dec 8];45(2):146–7. Available from: https://doi. org/10.1177/0049475514565426.
3. Tsay RW, Chang FY. Serious complications in scrub typhus. J Microbiol Immunol Infect Wei Mian Yu Gan Ran Za Zhi. 1998 Dec;31(4):240–4.71 IJMP/Volume 8 Number 2/July–December 2025
4. Yen T-H, Chang C-T, Lin J-L, Jiang J-R, Lee K-F. Scrub Typhus: A Frequently Overlooked Cause of Acute Renal Failure. N Y. :15.
6. Taylor AJ, Paris DH, Newton PN. A Systematic Review of Mortality from Untreated Scrub Typhus (Orientia tsutsugamushi). PLoS Negl Trop Dis [Internet]. 2015 Aug 14 [cited 2021 Dec 8];9(8):e0003971. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/ PMC4537241/
7. Mahajan SK, Mahajan SK. Neuropsychiatric Manifestations of Scrub Typhus. J Neurosci Rural Pract [Internet]. 2017 [cited 2021 Dec 8];8(3):421–6. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/ PMC5488565/
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.