恙虫病是由恙虫病立克次体引起的一种急性自然疫源性传染病。解放前本地区较多见,近几十年极少见,合并神经系统并发症者罕见。现报告2例如下: 例1,男性,49岁,昆明郊区农民,因发热头痛伴恶心5天于96年8月2日入院。患者无明显诱因出现发热头痛,体温在36～40.2℃之间,呈弛张热型,头痛较剧,伴恶心,无咳嗽。在院外曾用先锋V、丁胺卡那霉素无效。患者有10余年林区生活史,有野鼠接触史。体检:神志清,全身未见皮疹,阴囊见0.4×0.4cm~2皮肤破损,色微黑,浅表淋巴结不肿大,心肺阴性,肝脾肋下未触及,视乳头边界清楚,四肢 Tsutsugamushi disease is caused by Rickettsia tsutsugamushi acute natural foci of infectious diseases. Pre-liberation areas more common, rare in recent decades, combined with nervous system complications are rare. Now report two cases as follows: Example 1, male, 49 years old, Kunming suburban farmers, due to fever headache with nausea for 5 days in August 2, 1996 admission. No obvious incentive for patients with fever headache, body temperature between 36 ~ 40.2 ℃, was remittent fever, headache more drama, with nausea, no cough. Vanguard V has been used outside the hospital, amikacin ineffective. Patients have more than 10 years of forest life history, a history of exposure to wild rats. Physical examination: Consciousness, the whole body no skin rash, scrotal see 0.4 × 0.4cm ~ 2 skin damage, color black, superficial lymph nodes are not enlarged, heart and lung negative, liver and spleen ribs untouched, clear nipple border, limbs