恙虫病病原体与其他立克次体种有许多不同特征,病原体在局部繁殖后经淋巴系统进入血液循环而导致毒血症;病原体死亡后又可释放毒素,导致各脏器的损伤,因此恙虫病临床表现多样,极易误诊漏诊。我科自2004年5月至2005年5月诊治恙虫病18例,报告如下。1临床资料1.1一般资料:恙虫病患 Tsutsugamushi pathogens and other rickettsia species has many different characteristics, the pathogens in the local propagation through the lymphatic system into the blood circulation leading to sepsis; pathogens after death and can release toxins, leading to the damage of various organs, so scrub typhus Diverse clinical manifestations, extremely misdiagnosed missed diagnosis. Our department from May 2004 to May 2005 diagnosis and treatment of tsutsugamushi 18 cases, the report is as follows. 1 Clinical data 1.1 General information: scrub typhus patients