cerebral salt wasting syndrome in a patient of scrub typhus

Cerebral Salt wasting (CSW) syndrome is a condition which closely mimics SIADH. The differentiation is by the presence of the signs of dehydration in CSW Syndrome. It is important to differentiate between the two as the treatment of CSW syndrome is fluid therapy whereas the treatment of SIADH is fluid restriction.CSW syndrome usually occurs in neurosurgical patients. Here, we present a case of CSW syndrome in a patient with scrub typhus who also had subarachnoid hemorrhage. A physician should be aware of CSW syndrome and should be able to differentiate it from SIADH.