Clinical analysis of tsutsugamushi disease misdiagnosed as tonsillitis.
- Author:
Ning KANG
;
Ning LAN
;
Hui YE
- Publication Type:Journal Article
- MeSH:
Diagnostic Errors;
Humans;
Orientia tsutsugamushi;
Pharyngitis;
etiology;
Scrub Typhus;
complications;
diagnosis;
Tonsillitis;
diagnosis
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2014;28(6):425-426
- CountryChina
- Language:Chinese
-
Abstract:
Tsutsugamushi disease is an acute infectious rickettsial disease caused by the intracellular parasite Orientia tsutsugamushi. Due to its variety of clinical signs, this disease is often misdiagnosed. This article examines a total of 4 patients who visited our clinics with fever and sore throat. 3 of them had body temperature of 39.5 Celsius degrees when admitted. The characteristic black eschar occurred on 4 of them. Lymphadenopathy occurred on 2 of them. Cough occurred on 1 of them. Lab tests showed that 3 of them had Leukocytosis, 1 of them had increased bronchovascular markings, and 3 of them had Weil-Felix test positive. After admission, all patients, who were confirmed of diagnosis of tsutsugamushi disease instead of tonsillitis, received the comprehensive treatment and cured afterwards.
