恙虫病45例临床特征分析

发布时间：2018-02-04 07:47

本文关键词： 丛林斑疹伤寒临床特征回顾性分析　出处：《中国麻风皮肤病杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的:分析恙虫病患者的临床特征。方法:回顾性分析2012年8月至2016年3月在我科就诊的45例恙虫病患者的临床资料。结果:潜伏期1~3周。主要表现发热(100.00%,45/45)、头痛(28.89%,13/45)、肌痛(55.56%,25/45)、皮损(100.00%,45/45)、疲倦(71.11%,32/45)、胃肠道症状(35.55%,16/45)。37例(82.22%)患者躯干四肢出现红斑和斑丘疹。特征性皮损是所有患者出现焦痂,好发于胸部(28.89%,13/45)、腹部(24.44%,11/45)、腋下(11.11%,5/45)和外阴(8.89%,4/45)。结论:恙虫病临床表现多样,皮肤焦痂溃疡性损害是本病的特征性皮肤表现。
[Abstract]:Objective: to analyze the clinical characteristics of tsutsugamushi disease patients. Methods: the clinical data of 45 patients with tsutsugamushi disease from August 2012 to March 2016 were analyzed retrospectively. The incubation period was 1 to 3 weeks. 100.00%. 45 / 45, a headache of 28.89 involves 13 / 45, a muscle pain of 55.56 and a 25 / 45, a skin lesion of 100.0045 / 45, a tiredness of 71.11 percent. Thirty-two out of 45 patients had erythema and macular papules in their torso and limbs. The characteristic lesions were eschar in all patients. It was found in the chest 28. 89%, in the abdomen 24. 44%, in 11 / 45%, in the underarm 11. 11 / 45) and in the vulva at 8. 89%. Conclusion: the clinical manifestations of tsutsugamushi disease are various.
【作者单位】：苏州大学附属第三医院皮肤科;南京医科大学附属南京医院皮肤科;
【分类号】：R513.2
【正文快照】： 恙虫病(tsutsugamushi disease),又名丛林斑疹伤寒(scrub typhus),是以恙螨幼虫为媒介的由恙虫病东方体(Orientia tsutsugamushi,Ot)感染引起的一种自然疫源性疾病,广泛流行于东南亚及西太平洋地区,全球每年约有100万新发患者[1]。我国属于恙虫病重点疫区之一,原仅限于长江以

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