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Case Report

Scrub Typhus with Psychosis

Swati Chandramouli, Hemendra Singh

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RFP Indian Journal of Medical Psychiatry 8(2):p 69-71, July - Dec. 2025. | DOI: 10.21088/ijmp.2395.311X.8225.4

How Cite This Article:

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.


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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Swati Chandramouli, Hemendra Singh. Scrub Typhus With Psychosis. RFP Ind Jr of Med Psy. 2025; 8(2): 69-71


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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.



Received Accepted Published
November 06, 2025 December 09, 2025 December 30, 2025

DOI: 10.21088/ijmp.2395.311X.8225.4

Keywords

Scrub TyphusPsychosisVisual Hallucinations

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Received November 06, 2025
Accepted December 09, 2025
Published December 30, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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.



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