Pattern-VER and visual field examinations are sensitive tests to detect early toxicity. Together with OCT, they may help to identify patients who are likely to develop clinical toxicity.

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This work was carried out in collaboration between all authors. Author KD examined the subjects and collected the data. Author KM designed and supervised the resistance exercise protocol. Author ASB performed the ultrasonography and interpreted the MRI data. Author RMP was involved in data interpretation and statistical analysis. Author KL was involved in supervision of all the biochemical investigations carried out. Authors RS and RG were involved in the designing the study, supervision of author KD and editing first and final drafts of the manuscript. Author NKV directed the study, created the tables and figures and wrote and edited the first and final drafts of the manuscript. All authors read and approved the final manuscript.

Scrub typhus is largely ignored in India particularly during outbreaks of viral fever. The disease course is often complicated leading to fatalities in the absence of treatment. However, if diagnosed early and a specific treatment is initiated, the cure rate is high. We report here five cases of scrub typhus to highlight the fact that high clinical suspicion for such a deadly disease is an absolute necessity.

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