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恙虫病是由恙虫立克次体引起的发热发疹的急性传染病。据查钦州地区过去未有病例报告,我市亦从未有病例报告,1967年虽曾在疫情报告中报过一例疑似病人,但无病案可查,也未经血清学证实。1983年市人民医院内科收治两例恙虫病人,并经急性期、恢复期双份血清外裴氏试验证实。现报告如下: 例1洪××,女,60岁,农民,1983年8月24日入市医院内科住院。7天前发现左腋下有一“疖疮”,红肿无脓,疼痛不明显。5天前突然发热伴畏寒,全身酸痛,食欲不振,服“感冒药”未见热退。入院前半天胸前出现散在淡红色皮疹,无痒感。发病前曾下地拔草劳动。体检:T39.9℃。
Tsutsugamushi disease is caused by Rickettsia tsutsugamushi fever acute rash. In the past, there was no case report in Chaqzhou Prefecture, and no case report was reported in the city. Although a suspected patient was reported in the epidemic report in 1967, no case record was found and no serological evidence was confirmed. Two cases of tsutsugamushi were admitted to the Municipal People’s Hospital in 1983 and confirmed by double-serum Pei’s test in acute phase and convalescent phase. The report is as follows: Example 1 Hong × ×, female, 60 years old, farmer, August 24, 1983 admitted to the hospital medical department. 7 days ago found a left underarm there is a “scabies”, no swelling of the abscess, the pain is not obvious. Sudden fever 5 days ago with chills, body aches, loss of appetite, serving “cold medicine” no retreat. Half a day before admission chest scattered light red rash, no itching. Before the onset of the next pull the grass labor. Physical examination: T39.9 ℃.