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60 Meningoencephalitis - Disease Which Requires Optimal Approach in Emergency Manner

Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/intechopen.68369

## **Abstract**

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'.

**Keywords:** scrub typhus, neurological manifestation, meningitis, encephalitis, meningoencephalitis
