治疗地方性斑疹伤寒的药物通常选用氯霉素或四环素,现报告1例经丙氟哌酸治疗获得痊愈的病例。患者女性,31岁,既往健康,因高热、剧烈头痛、肌痛以及轻咳6天入院,入院前3天发现皮疹,开始于四肢,逐渐波及躯干。入院时体温40.4℃,脉搏80次/分,血压110/60mmHg,躯干和四肢散布红色斑丘疹。 Drugs for the treatment of endemic typhus, usually chloramphenicol or tetracycline, are reported and 1 case reported of cure with propanilide has been reported. Patient Female, 31 years old, formerly healthy, admitted to hospital for 6 days due to high fever, severe headache, myalgia, and light cough. A rash was found 3 days before admission and began to spread to the trunk and limbs. Admission body temperature 40.4 ℃, pulse 80 beats / min, blood pressure 110 / 60mmHg, torso and limbs scattered red rash.