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目的分析无焦痂恙虫病的误诊原因,为无焦痂恙虫病的临床诊断提供依据。方法对2003年8月—2013年10月收治的无特异性焦痂恙虫病17例进行回顾性分析。结果恙虫病的临床表现具有多样性、复杂性的特点,如无特异性焦痂,临床上极易误诊。该组病例误诊时间为5~15 d。最后均根据流行病学史、临床表现、诊断性用药和恙虫病外斐反应检查确诊恙虫病,经及时诊治,预后良好。结论无特异性焦痂恙虫病易误诊,外斐反应是确诊的有效方法。
Objective To analyze the causes of misdiagnosis of scorchin scrub typhus and provide the basis for the clinical diagnosis of scrub scrub typhus. Methods A retrospective analysis of 17 cases of nonspecific eschar scrub typhus admitted from August 2003 to October 2013 was performed. Results The clinical manifestations of scrub typhus has the characteristics of diversity and complexity, such as nonspecific eschar, and can be easily misdiagnosed clinically. Misdiagnosis time of this group of patients is 5 ~ 15 d. Finally, according to epidemiological history, clinical manifestations, diagnostic medication and scrub typhus outside the Fifi response to confirm scrub typhus, after timely diagnosis and treatment, the prognosis is good. Conclusion Non-specific eschar scrub typhus is easy to misdiagnosis, Fife reaction is an effective method of diagnosis.