恙虫病11例临床分析

Analysis of 11 Cases of Tsutsugamushi Disease

目的探讨恙虫病的皮疹特点及其他临床特征。方法回顾性分析2014年9月-2015年11月就诊于我科的11例恙虫病患者临床资料。结果 11例恙虫病患者均有焦痂、躯干及四肢的红色斑疹以及野外活动史,其他伴随症状有发热、全身酸痛乏力。实验室检查有白细胞升高、嗜酸性粒细胞比例下降、肝功能异常等。结论焦痂是恙虫病的特异性皮疹,躯干四肢的红色斑疹、发热、转氨酶异常对恙虫病的诊断有重要意义。

Objective To investigate the lesion features and clinical manifestations of patients with tsutsugamushi disease. Methods The clinical datum of 11 cases of patients with tsutsugamushi who visited our depart- ment from September 2014 to November 2015 were retrospectively analyzed. Results All the 11 patients appear as eschar, erythema on trunk and limbs with other concomitant symptoms including fever, general malaise and fatigue, and have a field activity history. Lab examinations indicate that more leukocytes, de- gressive the proportion of eosinophil, abnormal liver function and so on. Conclusion Eschar is the spe- cial lesion for tsutsugamushi disease, and some symptoms including erythema, fever, abnormal aminopherase are helpful to diagnosis of the tsutsugamushi disease.