[Five cases of tsutsugamushi disease].

[Five cases of tsutsugamushi disease].
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恙虫病五例[J].

DOI:
10.11150/kansenshogakuzasshi1970.68.1057
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发表时间:
1994
期刊:
Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
影响因子:
--
通讯作者:
K. Hara
K. Hara
中科院分区:
--
文献类型:
--
作者:
T. Fujii;S. Sakata;N. Mori;T. Ishino;J. Kadota;S. Kohno;K. Hara

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我们在1993年10月至11月在北总中央医院经历了5例恙虫病。所有患者均出现高热、皮疹和焦痂,4例患者出现淋巴结肿大。所有病例均采用间接免疫荧光技术进行血清学诊断,并给予米诺环素治疗。在抗Karp、Kato、Gilliam、川崎、Kuroki抗体调查中,所有患者均显示抗川崎毒株的最高抗体滴度,并认为他们是川崎型。在长崎县,自1982年以来,恙虫病患者人数一直在增加。我们在长崎县进行了关于这种疾病的免疫学和流行病学研究。
We experienced 5 cases of tsutusgamushi disease from October to November 1993 at Hokusyo Central Hospital. All patients showed high fever, skin rash and eschar and four patients showed lymph node swelling. All cases were diagnosed serologically by indirect-immunofluorescence technique and treated with minocycline. In a survey of anti-Karp, Kato, Gilliam, Kawasaki, Kuroki antibodies, all patients showed the highest antibody titers against the Kawasaki strain and they were considered Kawasaki type. In Nagasaki Prefecture, the number of patients with tsutsugamushi disease has been increasing since 1982. We carried out immunologic and epidemiologic studies about this disease in Nagasaki Prefecture.