Scrub Typhus with Bilateral Sensorineural Hearing Loss: A Rare Presentation

Scrub typhus, caused by Orientia tsutsugamushi, is a re-emerging infectious disease prevalent in Southeast Asia, including India. While commonly presenting with fever and systemic complications, neurological manifestations such as sudden bilateral sensorineural hearing loss (SNHL) are rare but increasingly recognised. We report a case of a 64-year-old female presenting with fever, myalgia, and bilateral SNHL, later diagnosed with scrub typhus. Diagnostic challenges arise due to the diverse clinical spectrum and nonspecific symptoms. The proposed mechanisms for hearing loss involve direct invasion of the central nervous system or vasculitis of the cochlear nerve. Heightened awareness among healthcare providers is crucial for timely diagnosis and management. Empirical treatment with doxycycline is recommended in endemic regions for suspected cases. This case emphasises the importance of considering scrub typhus in patients with acute febrile illness and otic symptoms, facilitating early intervention and improved outcomes. How to cite this article:Asokan A, Athira V R, Thomas S K, Koshy A.Scrub Typhus with Bilateral SensorineuralHearing Loss: A Rare Presentation. J CommunDis. 2024;56(1):13-15.