Scrub typhus is an infectious disease caused by Rickettsia tsutsugamushi, and is an acute febrile illness characterized by fever, rash, and myalgia. The complications of scrub typhus are meningitis, acute renal failure, interstitial pneumonia and myocarditis. However, hearing loss as a complication of scrub typhus is very rare. The mechanism of hearing loss in scrub typhus has not yet been explained. We present a case of scrub typhus with bilateral sudden hearing loss.