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恙虫病和脑血管损伤:治疗延迟的现象?

Scrub typhus and cerebrovascular injury: a phenomenon of delayed treatment?

机构信息

Department of Internal Medicine, Chosun University College of Medicine,Gwang-ju, Republic of Korea.

出版信息

Am J Trop Med Hyg. 2013 Jul;89(1):119-22. doi: 10.4269/ajtmh.13-0094. Epub 2013 May 28.

Abstract

Abstract. Three patients diagnosed with scrub typhus through serology and polymerase chain reaction tests, experienced delayed administration of effective antibiotics after the appearance of symptoms, presented with subdural hemorrhage, intracerebral hemorrhage, or cerebral infarction in the late acute phase. Orientia tsutsugamushi should be considered as a causal or provoking factor for cerebrovascular accidents in regions where scrub typhus is endemic, especially in those who receive delayed treatment.

摘要

摘要。通过血清学和聚合酶链反应检测诊断为恙虫病的 3 名患者,在出现症状后延迟使用有效抗生素,在晚期急性期中出现硬膜下出血、脑出血或脑梗死。在恙虫病流行地区,应将东方体考虑为脑血管意外的病因或诱发因素,尤其是在延迟治疗的患者中。

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