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題名 | 恙蟲病併發急性呼吸窘迫症候群=Scrub Typhus Complicated with Acute Respiratory Distress Syndrome |
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作者 | 張英睿; 吳育弘; 林長怡; 蘇信義; Chang, Ing-ruey; Wu, Yu-hung; Lin, Chang-yi; Su, Hsin-yi; |
期刊 | 中華皮膚科醫學雜誌 |
出版日期 | 19990600 |
卷期 | 17:2 1999.06[民88.06] |
頁次 | 頁112-118 |
分類號 | 415.26 |
語文 | chi |
關鍵詞 | 恙蟲病; 急性呼吸窘迫症候群; Acute respiratory distress syndrome; Eschar; Scrub typhus; Rickettsia tsutsugamushi; Tsutsugamushi disease; |
中文摘要 | 一28歲女性因持續頭痛、發燒併皮膚紅疹來院急診。皮膚檢查發現臉部、軀幹及 四肢有散在性紅色丘疹及水□。胸部X光有支氣管炎變化。病人於水痘併支氣管炎診斷下 住院,施以抗病毒藥物治療。住院後皮疹無進一步變化,然病人出現呼吸窘迫症狀,並於左 下腹部發現一焦痂。血液免疫螢光檢查顯示tsutsugamushi Ab IgG+A+M≧1:640, IgM≧ 1:640。病人於恙蟲病併發急性呼吸窘迫症候群之診斷下,接受抗生素minocycline及呼吸器 治療,並於日後痊癒出院。恙蟲病有典型之皮膚表現,在台灣多發生於偏遠及離島地區。恙 蟲病之診斷要靠臨床醫師之高度警覺心,尤其是流行地區。 |
英文摘要 | A 28-year-old aboriginal female complained persisting headache, fever and skin eruption. There were scattered erythematous papulovesicles on the face, trunk and extremities. Chest X-ray revealed bronchiolitic change. She was admitted as chickenpox with bronchitis, and received antiviral theraphy. However, acute respiratory distress status developed and an eschar was found on the left lower quadrant of abdomen. Serum indirect immunofluorescence test showed Rickettsia tsutsugamushi Ab IgG+A+M≧1:640, IgM≧1:640, Scrub typhus (tsutsugamushi disease) complicated with acute respiratory distress syndrome was diagnosed. The patients survived after minocycline therapy and intensive care. Practicing dermatologists in Taiwan should be aware of this reportable disease and its potentially serious complications if not promptly diagnosed and treated. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。