斑疹伤寒；临床上并不少见，部分病人可并发脑炎。因临床上缺乏特异性症状及体征，极易误诊为病毒性脑炎而延误治疗，导致病程延长。我院1990～1994年共收治25例麻疹伤寒，其中8例在院外先后经过两个以上医疗单位诊治，误诊为“病毒性脑炎”。入院后，根据热程长，肝脾肿大，按 Typhus; clinical is not uncommon, some patients may be complicated by encephalitis. Because of the lack of clinical symptoms and signs of specific, easily misdiagnosed as viral encephalitis and delayed treatment, leading to prolonged course. Twenty-five cases of measles and typhoid fever were treated in our hospital from 1990 to 1994. Eight of them were diagnosed and treated as being “viral encephalitis” by two or more medical units outside the hospital. After admission, according to the long heat, hepatosplenomegaly, press