1例恙虫病的诊疗体会

A Case of Diagnosis and Treatment of Scrub Typhus

目的分析恙虫病的诊疗过程,以提高诊断水平及防控水平。方法回顾分析1例恙虫病的临床资料。结果本例因突发寒战高热、皮疹伴消化道症状就诊,入院诊断为发热原因待查,予抗感染等治疗,消化道症状基本缓解,发热5 d,体温波动较大,考虑自然疫源性传染病,但排除流行性出血热。经查恙虫病抗体阳性,确诊为恙虫病应用多西环素治疗后体温恢复正常,住院11 d后病情好转出院。结论恙虫病临床表现及实验室检查无特异性,极易误诊,恙虫病抗体阳性为本病诊断的金标准。

Objective To analyze the the scrub typhus treatment process, to improve the diagnosis and prevention and control level. Methods A retrospective analysis of the clinical data of the cases of scrub typhus. Results In this case due to sudden chilis ,fever, rash associated with gastrointestinal symptoms treatment, admission diagnosis of fever of unknown origin, to anti - infective therapy, gastrointestinal symptoms ease fever five days ,temperature fluctuations ,consider the natural foci infectious diseases, but exclude the epidemic hemorrhagic fever. Investigation scrub typhus antibodies diagnosed scrub typhus application temperature returned to normal after treatment with doxycycline,and hospitalized for 11 days after her condition improved and was discharged. Conclusion Scrub typhus clinical manifestations and laboratory tests non -specific,easily misdiagnosed, scrub typhus antibody positive oriented gold standard for diagnosis of the disease.