Albisser M, Ritschard T
Medizinische Klinik, Kantonsspital Luzern.
Schweiz Med Wochenschr. 1990 Jul 28;120(30):1109-11.
Scrub typhus rarely figures among the imported tropical diseases in western Europe. Rickettsia tsutsugamushi is transmitted by larval mites. A typical eschar develops at the site of the mite bite during the incubation period, after which systemic symptoms (remittent or continuous high fever, severe headache, tender lymphatic glands and symptoms of bronchitis) develop with sudden onset. Antibodies appear during the second week and can be shown by a positive and increasing titer against Prot. OXK (Weil-Felix) or by specific rickettsial agglutination. The Weil-Felix reaction is neither very sensitive nor very specific. Therefore, treatment should be started as soon as suspicion arises whether a positive serology is available or not. Tetracycline drugs are effective treatment and fever subsides in less than 24 hours in most patients. - We report the rare observation of a tourist who imported tsutsugamushi fever from India.
恙虫病在西欧输入性热带疾病中较为罕见。恙虫病东方体由幼虫螨传播。在潜伏期，螨叮咬部位会出现典型的焦痂，之后会突然出现全身症状（弛张热或持续高热、严重头痛、压痛性淋巴结及支气管炎症状）。抗体在第二周出现，可通过抗OXK（外斐）抗体效价呈阳性且不断升高或特异性立克次体凝集试验显示。外斐反应既不十分敏感也不十分特异。因此，一旦怀疑该病，无论血清学检查结果是否为阳性，都应立即开始治疗。四环素类药物是有效的治疗药物，大多数患者发热在24小时内消退。——我们报告了一例罕见的病例，一名游客从印度输入了恙虫病发热。
