case_images: PMC11834754_01
case_images: Eschar seen in the patient. The above eschar corresponds to a late stage in the evolution of eschar seen in scrub typhus.
case_images: cureus-0017-00000077658-i01.jpg
case_images: PMC11834754_01_cureus-0017-00000077658-i01.jpg
case_images: FIG1
case_images: Hg in the left upper limb, a pulse rate of 98 beats/minute, regular rhythm, respiratory rate of 16 breaths/minute, and oxygen saturation of 96% in room air. He had an eschar of size 1.5x1 cm in his left lumbar region (Figure 1).
case_images: Pure-tone audiometry showing sensorineural hearing loss. Both the bone and air conduction thresholds are increased, and there is no air-bone gap.. Horizontally, we have the frequencies in Hertz, and vertically, we have the hearing level of the patient in decibels. Box brackets indicate bone conduction (red: right ear; blue: left ear), red circles indicate air conduction in the right ear, and cross shapes indicate air conduction in the left ear.
case_images: cureus-0017-00000077658-i02.jpg
case_images: PMC11834754_01_cureus-0017-00000077658-i02.jpg
case_images: FIG2
case_images: An otorhinolaryngology opinion was obtained, pure-tone audiometry (Figure 2) was performed, and the patient was diagnosed with bilateral sudden sensorineural hearing loss and was advised tablet prednisolone 60 mg daily for one week.
case_images: PMC11834754_02
case_images: Eschar seen in the patient. The eschar seen corresponds to a later stage in the evolution of scrub typhus eschar wherein the crust has disappeared completely.
case_images: cureus-0017-00000077658-i03.jpg
case_images: PMC11834754_02_cureus-0017-00000077658-i03.jpg
case_images: FIG3
case_images: On careful and detailed examination, the patient was found to have an eschar of size 2x1.5 cm in the nape of his left neck (Figure 3).
case_images: ECG at admission showing normal sinus rhythm
case_images: cureus-0017-00000077658-i04.jpg
case_images: PMC11834754_02_cureus-0017-00000077658-i04.jpg
case_images: FIG4
case_images: His ECG was initially normal at admission (Figure 4).
case_images: ECG during episode of atrial fibrillation.. Arrows point toward irregular R-R interval and no discernable "P" waves.
case_images: cureus-0017-00000077658-i05.jpg
case_images: PMC11834754_02_cureus-0017-00000077658-i05.jpg
case_images: FIG5
case_images: Chest X-ray of the patient, with arrows showing bilateral infiltrates.
case_images: cureus-0017-00000077658-i06.jpg
case_images: PMC11834754_02_cureus-0017-00000077658-i06.jpg
case_images: FIG6