1986年10月和11月,我们在南京发现恙虫病2例,现报导如下: 例1,男,44岁,南京西郊江浦某单位干部。1986年10月4日开始周身乏力,鼻塞。7日起发热,体温达39.2℃,自觉咽痛,胸闷,气急,心慌,腹痛,恶心。同时发现右腘窝有一椭圆形溃疡,已结痂,无痛痒。曾两次门诊按上呼吸道感染处理无效。10日入院时呈急性发热病容,体温38.9℃,脉搏86次,血压100/60;皮肤、巩膜无黄染,未见出血点。右腘窝见1×0.5cm椭圆形焦痂,周围皮肤稍隆起呈樱红色,界限明显;右腹股沟可触及数个蚕豆大淋巴结,触痛明显。血白细胞4200,中性66%,淋巴34%,红细胞391 In October and November 1986, we found 2 tsutsugamushi disease in Nanjing. The report is as follows: Example 1, male, 44 years old, a unit cadre of Jiangpu in the western suburbs of Nanjing. October 4, 1986 began whole body fatigue, stuffy nose. On the 7th fever, body temperature of 39.2 ℃, conscious sore throat, chest tightness, shortness of breath, palpitation, abdominal pain, nausea. At the same time found a right oyster oval nest ulcer, has scab, no itching. Two outpatient visits by upper respiratory tract infection treatment invalid. Admitted to hospital on the 10th was acute fever, body temperature 38.9 ℃, pulse 86 times, blood pressure 100/60; skin, sclera no yellow dye, no bleeding. Right 腘 nest see 1 × 0.5cm oval eschar, the surrounding skin slightly raised cherry red, obvious boundaries; right groin can reach a few large beans, large lymph nodes, tenderness significantly. Blood white blood cells 4200, 66% neutral, lymphatic 34%, 391 red blood cells