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Updated: Jun 19, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Acute sensorineural hearing loss and severe otalgia due to scrub typhus
Ji-In Kang1, Dong-Min Kim, Joonhan Lee
1Division of Infectious Diseases, Department of Internal Medicine, Chosun University, School of Medicine, Gwangju City, Republic of Korea. jeankk@naver.com
Background:
Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi.
Case Presentations:
We encountered a patient with sensorineural hearing loss complicating scrub typhus, and three patients with scrub typhus who complained of otalgia, which was sudden onset, severe, paroxysmal, intermittent yet persistent pain lasting for several seconds, appeared within 1 week after the onset of fever and rash. The acute sensorineural hearing loss and otalgia were resolved after antibiotic administration.
Conclusion:
When patients in endemic areas present with fever and rash and have sensorineural hearing loss or otalgia without otoscopic abnormalities, clinicians should suspect scrub typhus and consider empirical antibiotic therapy.
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