SCRUB AND MURINE TYPHUS IN CHILDREN WITH OBSCURE FEVER IN THE TROPICS

被引：59

作者：

SILPAPOJAKUL, K ^{[1
]}

CHUPUPPAKARN, S ^{[1
]}

YUTHASOMPOB, S ^{[1
]}

VARACHIT, B ^{[1
]}

CHAIPAK, D ^{[1
]}

BORKERD, T ^{[1
]}

SILPAPOJAKUL, K ^{[1
]}

机构：

[1] PRINCE SONGKLA UNIV,DEPT MED,SONGKHLA,THAILAND

来源：

PEDIATRIC INFECTIOUS DISEASE JOURNAL | 1991年 / 10卷 / 03期

关键词：

SCRUB TYPHUS; MURINE TYPHUS; FEVER OF UNKNOWN ORIGIN; RICKETTSIA-TSUTSUGAMUSHI; RICKETTSIA-TYPHI;

D O I：

10.1097/00006454-199103000-00006

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Between October, 1985, and February, 1987, 28 (8.7%) cases of scrub and murine typhus were diagnosed among 320 children with greater-than-or-equal-to 1 week history of obscure fever. Scrub typhus is a rural disease and characterized by fever, tachypnea and hepatosplenomegaly. Skin rash was rare and eschar was absent. Four patients had pneumonia and two had meningitis. Murine typhus, more an urban disease, was milder and half the patients presented exclusively because of night fever. Slightly enlarged liver and skin rash were the only significant physical signs. Lacking the classical textbook presentations, both rickettsioses often were missed or diagnosed as enteric fever. Recognition is important because patients with either disease respond well to treatment with chloramphenicol or doxycycline.

引用

页码：200 / 203

页数：4

共 33 条

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