Liu Zhongda, Chen Gensheng, Chen Haiquan
Department of Respiratory Diseases, Lishui Chinese Medicine Hospital, Lishui 323000, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2002 Aug;25(8):478-80.
To study the clinical features of pulmonary complications associated with tsutsugamushi disease.
Two hundred and thirty two patients with tsutsugamushi disease were retrospectively analyzed by chest X-ray, ultrasonography and lung function test. The differential diagnosis of tsutsugamushi disease associated lung complications from mycoplasma pneumonia, streptococcal pneumonia and tuberculosis was discussed.
Pulmonary complications were present in 21.6% (50/232) of the patients with tsutsugamushi disease. Of them 42% were initially misdiagnosed as other pulmonary diseases. The characteristic radiographic manifestation was exudative lesions. The lesions were bilateral in 36 cases (72%), and unilateral in 14 cases (28%). Pleural effusion was present in 16 cases. Chloromycetin was effective in all the cases.
Pulmonary complications were common in tsutsugamushi disease. The prognosis was good if diagnosed and treated properly at an early stage.
研究恙虫病肺部并发症的临床特征。
采用胸部X线、超声及肺功能检查对232例恙虫病患者进行回顾性分析。探讨恙虫病合并肺部并发症与支原体肺炎、链球菌肺炎及肺结核的鉴别诊断。
232例恙虫病患者中，肺部并发症发生率为21.6%（50/232）。其中42%的患者最初被误诊为其他肺部疾病。特征性影像学表现为渗出性病变。病变双侧36例（72%），单侧14例（28%）。16例有胸腔积液。氯霉素治疗所有病例均有效。
恙虫病肺部并发症常见。早期正确诊断和治疗预后良好。
