摘要
目的通过对恙虫病的误诊分析提高对恙虫病的认识。方法对恙虫病误诊的15例患者进行回顾性分析。结果15例患者均有草地等野外活动史，均有不同程度发热，14例有溃疡／焦痂、10例有皮疹、4例有淋巴结肿大。误诊为感冒11例、伤寒2例、败血症2例，经治疗均获痊愈。结论皮肤焦痂是恙虫病的重要特征，加强认识、仔细体检及流行病史的询问是防止该病误诊的重要手段。
Objective To expand knowledge about tsutsugamushi disease by analysis of misdiagnosed cases. Methods Clinical data on 15 misdiagnosed cases of tsutsugamushi disease were retrospectively analyzed. Results Of the 15 patients, all had a history of field activity （e.g., in grassland） and varying degrees of fever, 14 had ulcers or eschar, 10 had skin rashes, and 4 had lymphadenectasis. Tsutsugamushi disease was misdiagnosed as upper respiratory tract infection in 11 patients, typhoid fever in 2 patients, and septicemia in 2 patients. All the patients were cured after treatment. Conclusions Skin eschar is an important characteristic of tsutsugamushi disease. To strengthen understanding and to perform physical examination and epidemiological investigation carefully are important for the prevention of misdiagnosis of tsutsugamushi disease.
出处
《国际皮肤性病学杂志》
2015年第2期81-82,共2页
International Journal of Dermatology and Venereology
关键词
丛林斑疹伤寒
误诊
焦痂
Scrub typhus
Diagnostic errors
Eschar
