Diagnosis and treatment of 38 cases of tsutsugamushi disease
10.3969/j.issn.1005-1678.2017.10.048
- VernacularTitle:38例恙虫病的诊治分析
- Author:
fei Lin WU
1
;
yang Shi DONG
;
bo Xue ZHANG
Author Information
1. 嵊州市人民医院 全科医学科
- Keywords:
tsutsugamushi disease;
diagnosis and treatment;
experience
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(10):121-122,125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To deepen the understanding of the clinical features of tsutsugamushi disease, in order to improve the diagnosis and treatment level. Methods The clinical data of 38 patients with tsutsugamushi disease were analyzed retrospectively in Shengzhou People 's Hospital from June 2015 to October 2016. Results All patients had persistent fever, were found eschar; 5 cases of elevated white blood cells, decreased in 10 cases, 23 cases of normal, C-reactive protein increased in 32 cases, 19 cases of thrombocytopenia, alanine aminotransferase increased in 29 cases, 22 cases of serum sodium, 19 cases of hypokalemia, 38 cases of serum albumin decreased; 26 cases of rash, 23 cases of pneumonia, inguinal lymph nodes in 22 cases, complicated by septic shock, respiratory failure in 3 cases. Conclusion The clinical symptoms of tsutsugamushi disease are diverse and lack of specificity. In patients with persistent fever in summer and autumn, it is necessary to guard against tsutsugamushi, and the eschar is found in time. The diagnosis and treatment is reduced and the misdiagnosis rate is reduced.
