Transient adrenal insufficiency and post-treatment bradycardia in scrub typhus - a case report.

[scrub typhus]

Scrub typhus appears throughout the Asia -Pacific rim . This disease is known for its diverse clinical manifestations and complications . There is no literature on the association of scrub typhus with adrenal insufficiency . Relative bradycardia has been reported in scrub typhus during the febrile phase but not during convalescence . We report the case of a 45 - year -old woman with scrub typhus whose blood pressure was persistently low due to acute adrenal insufficiency . Adrenal failure responded to supplementation with steroids . She also developed sinus bradycardia during the afebrile period following treatment .