中国麻风皮肤病杂志 ›› 2016, Vol. 32 ›› Issue (11): 669-671.

• 论著 • 上一篇    下一篇

恙虫病45例临床特征分析

赵玉磊1，张晓荣2，杨玉花1，田婷1，张汝芝1   

  1. 1,苏州大学附属第三医院皮肤科，江苏常州 213003 2,南京医科大学附属南京医院皮肤科，江苏南京 210006
  • 出版日期:2016-11-15 发布日期:2018-12-20
  • 通讯作者: 张汝芝, E-mail: zhangruzhi628@163.com

Clinical features of 45 patients with scrub typhus

ZHAO Yulei1, ZHANG Xiaorong2, ZHOU Lailai1, TIAN Ting1, Zhang Ruzhi1   

  1. 1. Department of Dermatology, The Third Affiliated Hospital of Soochow University Changzhou, 213003 Jiangsu, China; 2. Department of Dermatology, Nan Jing Hospital, Nanjing Medical University Jiangsu Province, Nanjing 210006, china
  • Online:2016-11-15 Published:2018-12-20
  • Contact: ZHANG Ruzhi, E-mail: zhangruzhi628@163.com

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摘要： 目的：分析恙虫病患者的临床特征。方法：回顾性分析2012年8月至2016年3月在我们皮肤科就诊的45例恙虫病患者的临床资料。结果：潜伏期1-3周。主要表现发热（100.00%,45/45）、头痛（28.89%,13/45）、肌痛（55.56%, 25/45）、皮损（100.00%,45/45）、疲倦（71.11%,32/45）、胃肠道症状（35.55%,16/45）。37例（82.22%）患者躯干四肢出现红斑和斑丘疹。特征性皮损是所有患者出现焦痂，好发于胸部（28.89%,13/45）、腹部（24.44%,11/45）、腋下（11.11%,5/45）和外阴（8.89%,4/45）。结论：恙虫病临床表现多样，皮肤焦痂溃疡性损害是本病的特征性皮肤表现。

关键词: 丛林斑疹伤寒, 临床特征, 回顾性分析

Abstract: Objective：To characterize the clinical features of scrub typhus. Methods：Clinical data in 45 patients with scrub typhus diagnosed from August 2012 to March 2016 were analyzed retrospectively. Results: Incubation period was 3 weeks in the series of the patients. The main clinical manifestations included fever in 45 patients (100.00%), headache in 13 (28.89%), myalgia 25 (55.56%), cutaneous manifestations 45 (100.00%), fatigue 32 (71.11%) and gastrointestinal symptoms 16 (35.55%).?Macular/maculopapular lesions on the trunk and limbs were seen in 37 patients (82.22%). The most characterized skin lesion was black eschar, mainly in chest in 13 patients (28.89%), abdomen in 11 (24.44%), axillae 5 (11.11%) and perineum 4 (8.89%). ?Conclusion: The clinical manifestations of scrub typhus varies and the most useful clue in the diagnosis of scrub typhus is eschar lesion.

Key words: scrub typhus, clinical features, retrospective analysis