Indian Journal Watch: 2 November 2026

Indian Journal Watch, InfectionIndia.com

Indian Journal Watch

2 November 2026

Peer-reviewed microbiology, infectious disease, AMR and infection-control papers from India and South Asia, published or added to PubMed from 31 October to 1 November 2026.

Lead articles

Vector-borne & zoonoses · Virology · World Journal of Clinical Pediatrics

Etiological spectrum of acute encephalitis syndrome in children in India: A systematic review and meta-analysis

World Journal of Clinical Pediatrics · doi:10.5409/wjcp.121910 · PubMed 42964460

What
A systematic review and meta-analysis from AIIMS Rishikesh and the Himalayan Institute of Medical Sciences, Dehradun, estimating the pooled proportion of acute encephalitis syndrome (AES) cases attributable to common infectious aetiologies among children aged 18 years or younger in India.
Design
PubMed/MEDLINE, EMBASE and Scopus were searched for studies published between January 2000 and December 2025. Studies conducted in India that included at least 25 children (≤ 18 years) with AES and reported laboratory-confirmed aetiologies were eligible; case reports and small case series were excluded. Quality was assessed with the Joanna Briggs Institute checklist, and a random-effects model was used to obtain pooled estimates with 95% confidence intervals.
Key findings
A total of 69 studies were included. Scrub typhus emerged as the most common cause, accounting for 20% (95%CI: 13%-27%) of AES cases, followed by Japanese encephalitis (JE) at 13% (95%CI: 11%-15%). Enterovirus accounted for 6% of the cases (95%CI: 3%-9%). Dengue, herpes simplex virus and Epstein-Barr virus accounted for 5% of the cases each, and mumps and chikungunya virus for 4% each.
Limitations
The pooled proportions depend on the diagnostic methods used in the included studies; the authors note that broader diagnostic methods, including molecular techniques, may improve diagnostic yield.
Relevance to India
The authors conclude that scrub typhus and JE are the leading identifiable aetiologies of paediatric AES in India, whereas JE has traditionally been regarded as the leading cause.

Diagnostics · Vector-borne & zoonoses · Cureus

Diagnostic Discordance Between IgM Serology and TSA-56 Real-Time Polymerase Chain Reaction (PCR) for Detecting Scrub Typhus Among Patients With Acute Undifferentiated Febrile Illness in Western Odisha

Cureus · doi:10.7759/cureus.117277 · PubMed 42967110

What
An observational study from Bhima Bhoi Medical College and Hospital (BBMCH), Balangir, and Maharaja Jajati Keshari Medical College, Jajpur, Odisha, evaluating scrub typhus (Orientia tsutsugamushi) among patients with acute undifferentiated febrile illness (AUFI) in Western Odisha and the discordance between IgM serology and TSA-56 real-time PCR (qPCR).
Design
397 febrile patients presenting to the Medicine and Pediatrics outpatient departments were enrolled. Serum was tested by IgM immunochromatographic test (ICT) and IgM ELISA; EDTA blood underwent column-based DNA extraction and a commercial TSA-56 qPCR assay. Complete blood counts were also evaluated.
Key findings
Positivity was 16.8% (67/397) by IgM ICT and 19.64% (78/397) by IgM ELISA. TSA-56 qPCR was positive in 37 of 178 tested samples (20.78%). Among samples evaluated by both methods, 12/257 (4.6%) ELISA-negative samples were qPCR-positive, whereas 6/78 (7.7%) ELISA-positive samples were qPCR-negative. Positive patients had a higher mean white blood cell count (9.94 ± 3.93 vs. 7.77 ± 3.57 × 10³/µL; p = 0.002) and lower mean platelet count (160.30 ± 87.64 vs. 220.31 ± 107.88 × 10³/µL; p = 0.001).
Limitations
Single-centre study; qPCR was performed on only 178 of the 397 enrolled patients.
Relevance to India
The authors suggest that reliance on serology alone may miss some infections, particularly during early illness, and that a combined diagnostic approach may provide more comprehensive case detection in endemic clinical settings.

More from the journals

Antimicrobial resistance & stewardship

Tuberculosis

Vector-borne & zoonoses

Virology & vaccines

Mycology

Clinical infectious diseases

Items are summaries of published abstracts and are not clinical advice. Readers should consult the original article. Figures are quoted as reported in each abstract.

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