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恙虫病又名丛林斑疹伤寒,是由恙虫病立克次体引起的急性传染病,属于自然疫源性疾病,主要传染源是啮齿类,传播媒介为恙螨幼虫。典型临床表现为发热、焦痂、皮疹和淋巴结肿大,严重者可并发多器官损伤,有些患者症状不典型,容易引起误诊。本文回顾性分析安徽中医药大学第一附属医院1例恙虫病的临床表现以及诊断、治疗过程,并结合文献分析其发病特点。1临床资料黎某,女,60岁,因“发热4 d”于2014年6月
Scrub typhus, also known as the jungle typhus, is an acute infectious disease caused by Rickettsia tsutsugamushi, belongs to natural foci of disease, the main source of infection is rodents, the media for chigger larvae. Typical clinical manifestations of fever, eschar, rash and lymph nodes, severe cases may be complicated by multiple organ damage, some patients with atypical symptoms, easily lead to misdiagnosis. This article retrospectively analyzed the clinical manifestations of 1 tsutsugamushi disease in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, as well as the diagnosis and treatment course, and analyzed the characteristics of its onset with the literature. 1 clinical data Li Mou, female, 60 years old, because “fever 4 d ” in June 2014