恙虫病又称丛林斑疹伤寒,是由恙虫病立克次体引起的自然疫源性疾病。传染源是鼠类及其它野生啮齿动物。传染媒介是恙螨。主要临床表现为发热、恙螨幼虫叮咬处呈原发性焦痴或溃疡、局部淋巴结肿大及皮疹。近年来本地区流行的恙虫病表现不典型,除持续发热外,焦痴或溃疡及皮疹均很少见,并发症多,误诊率高达85.4％。现将合并肝、肾损害的病例报告如下。 临床资料 一、肾损害8例,男6例,女2例。年龄:3-6岁3例,-9岁3例、-12岁2例。8例均有发热,-38℃1例,-39℃1例,39℃以上6例,最高40℃;热程在7天以内2例,-14天2例,14天以上4例。尿 Scrub typhus, also known as jungle typhus, is a natural foci disease caused by Rickettsia tsutsugamushi. Sources of infection are rodents and other wild rodents. Vector is a chigger. The main clinical manifestations of fever, chigger larvae bites at primary focal litchi or ulcers, local lymph nodes and rash. In recent years, the epidemic of tsutsugamushi disease in the region is not typical, in addition to persistent fever, stupid or ulcers and rash are rare, complications, misdiagnosis rate as high as 85.4%. Now combined liver and kidney damage are reported as follows. A clinical data, kidney damage in 8 cases, 6 males and 2 females. Age: 3-6 years old in 3 cases, -9 years in 3 cases, -12 years in 2 cases. 8 cases had fever, one case of -38 ℃, one case of -39 ℃, 6 cases of more than 39 ℃, the highest 40 ℃; fever in 7 days in 2 cases, 14 days in 2 cases, 14 days in 4 cases. Pee