Characteristics of Pediatric Scrub Typhus Eschar in South Indian Children
Characteristics of Pediatric Scrub Typhus Eschar in South Indian Children
复制标题
DOI：
10.1111/pde.13048
复制
发表时间：
2017-03-01
影响因子：
1.5
通讯作者：
Ananthakrishnan, Shanthi
中科院分区：
文献类型：
--
作者：
Babu, Thirunavukkarasu Arun;Vijayadevagaran, Vijayasankar;Ananthakrishnan, Shanthi
背景资料：焦痂的解剖位置的知识是有用的，在早期诊断恙虫病的儿童，并开始适当的treatment.Methods：所有的儿童年龄小于12岁承认确诊恙虫病超过17个月的时间，并存在焦痂和其他特征进行了记录和分析。在107例确诊的恙虫病患者中，37例（34.6%）出现焦痂。焦痂分布部位依次为面部2.7%、颈部5.4%、腋窝18.9%、躯干10.8%、腹股沟35.1%、生殖器和臀部27%。淋巴结病与67.5%的焦痂有关。焦痂的存在并没有与严重程度，并发症，或respondingtotherapy.Conclusion：焦痂在儿童发烧，特别是在腹股沟，生殖器和腋窝的皮肤褶皱仔细检查，可以帮助在早期诊断恙虫病。淋巴结病应提醒临床医生在引流区发现焦痂的可能性。
Background: Knowledge of anatomic location of eschar is useful in diagnosing scrub typhus early in children and to initiate appropriate treatment.Methods: All children younger than 12 years of age admitted with confirmed diagnosis of scrub typhus over a 17-month period were included and the presence of eschar and other characteristics were recorded and analyzed.Results: Of 107 confirmed patients with scrub typhus, 37 (34.6%) presented with eschar. The site of eschar distribution was the face, 2.7%; neck, 5.4%; axilla, 18.9%; trunk, 10.8%; inguinal, 35.1%; and genitalia and buttocks, 27%. Lymphadenopathy was associated with 67.5% of eschars. The presence of eschar did not correlate with severity, complications, or response to therapy.Conclusion: Careful examination for eschar in children presenting with fever, particularly in the skin folds of the groin, genitalia, and axillae, can aid in early diagnosis of scrub typhus. Lymphadenopathy should alert the clinician to the possibility of finding an eschar in the drainage area.