Introduction: Scrub typhus can present with audiological symptoms. Case: A pregnant mother presented with persistent fever, pneumonia and hearing loss. Investigation showed positive serology for scrub typhus. Conclusion: Clinicians must be aware of audiological presentations in scrub typhus. Possibly, permanent hearing loss was due to meningoencephalitis and hormone induced immunomodulation

Background: Tramadol causing intrapartum maternal anaphylaxis is unknown. Case: A 29-year-old, primigravida at 39+4 weeks pregnancy had an anaphylactic reaction to injection tramadol. She was intubated, caesarean section done and health baby and mother were discharged. Conclusion: Staffs have to be aware of this uncommon anaphylactic reaction to tramadol.

Introduction: Malignant transformation in mature cystic teratoma of ovary is a rare complication. Case report: A 62-year-old woman was diagnosed with squamous cell carcinoma in a mature cystic teratoma of ovary. Conclusion: Malignant transformation should be suspected in elderly woman with large mature cystic teratoma of ovary with thickened wall.