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现分析报告如下。恙虫病是一种急性传染病,临床上以发热、焦痂伴皮疹和局部淋巴结肿大为特征。夏秋季高发,多见于野外丛林地带。2010年5月—2015年11月,我单位卫生所共收治恙虫病46例,其中13例误诊,误诊率为28%。1临床资料1.1一般情况误诊13例中,男7例,女6例;年龄17~37岁,平均25.0岁。其中,士兵9例,农民3例,学生1例,均有明确的野外作业或游玩史。1.2临床表现(1)症状:13例均有发热、头痛,体温38.8~41.0℃;肌肉酸痛8例,咳嗽5例。(2)体征:皮疹4例,皮肤焦痂
The analysis report is as follows. Scrub typhus is an acute infectious disease, clinically characterized by fever, eschar and rash and local lymph nodes. High summer and autumn, more common in the wild jungle zone. From May 2010 to November 2015, 46 cases of tsutsugamushi disease were admitted to our public health center, of which 13 cases were misdiagnosed with a misdiagnosis rate of 28%. 1 Clinical data 1.1 General misdiagnosis 13 cases, 7 males and 6 females; aged 17 to 37 years, mean 25.0 years old. Among them, nine soldiers, three peasants, one student, have a clear history of field operations or play. 1.2 Clinical manifestations (1) Symptoms: 13 cases were fever, headache, body temperature 38.8 ~ 41.0 ℃; muscle soreness in 8 cases, cough in 5 cases. (2) signs: rash in 4 cases, skin eschar