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本文引用的文献

1
Persistent fever in acute hepatitis: think beyond acute viral hepatitis.急性肝炎中的持续发热:跳出急性病毒性肝炎的范畴去思考。
Infect Dis (Lond). 2024 Jun;56(6):476-483. doi: 10.1080/23744235.2024.2325568. Epub 2024 Mar 11.
2
Hepatopathy in Scrub Typhus: Clinical Presentation, Association With Morbidity and Impact on Outcome.恙虫病中的肝病:临床表现、与发病率的关联及对预后的影响
Cureus. 2024 Jan 15;16(1):e52316. doi: 10.7759/cureus.52316. eCollection 2024 Jan.
3
Clinical treatment of patients with scrub typhus-induced liver injury and intracranial infection.恙虫病致肝损伤并颅内感染患者的临床治疗。
J Int Med Res. 2023 Nov;51(11):3000605231214503. doi: 10.1177/03000605231214503.
4
Clinical profile and outcomes of Scrub typhus in pregnant women presenting to a tertiary care hospital of North India.印度北部一家三级护理医院收治的孕妇恙虫病的临床特征与结局
J Obstet Gynaecol. 2023 Dec;43(1):2141617. doi: 10.1080/01443615.2022.2141617. Epub 2022 Nov 25.
5
Recent Threat of Scrub Typhus in India: A Narrative Review.印度近期恙虫病的威胁:一篇叙述性综述
Cureus. 2022 Oct 9;14(10):e30092. doi: 10.7759/cureus.30092. eCollection 2022 Oct.
6
Orientia tsutsugamushi: The dangerous yet neglected foe from the East.恙虫东方体:来自东方的危险而被忽视的敌人。
Int J Med Microbiol. 2021 Jan;311(1):151467. doi: 10.1016/j.ijmm.2020.151467. Epub 2020 Dec 9.
7
Diagnosis of scrub typhus: recent advancements and challenges.恙虫病的诊断:最新进展与挑战
3 Biotech. 2020 Sep;10(9):396. doi: 10.1007/s13205-020-02389-w. Epub 2020 Aug 18.
8
Hepatic and Renal Profile of Scrub Typhus Patients at a Tertiary Care Center in India.印度一家三级护理中心恙虫病患者的肝脏和肾脏状况
Cureus. 2020 May 2;12(5):e7925. doi: 10.7759/cureus.7925.
9
Scrub typhus: risks, diagnostic issues, and management challenges.恙虫病:风险、诊断问题及管理挑战。
Res Rep Trop Med. 2017 Aug 7;8:73-83. doi: 10.2147/RRTM.S105602. eCollection 2017.
10
Clinical profile and risk factors associated with severe scrub typhus infection among non-ICU patients in semi-urban south India.印度南部半城市地区非重症监护病房患者中严重恙虫病感染的临床特征及危险因素
J Vector Borne Dis. 2018 Jan-Mar;55(1):47-51. doi: 10.4103/0972-9062.234626.

印度恙虫病急性未分化发热性疾病患者的肝功能障碍

Hepatic dysfunction among scrub typhus Indian patients with acute undifferentiated febrile illness.

作者信息

Dwivedi Sourabh, Gaikwad Kapila, Ansari Yar Mohammad, Dwivedi Pratiksha Pandey, Sharma Shikhar

机构信息

Department of Biochemistry, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.

Department of Microbiology, Rajmata Shrimati Devendra Kumari Singhdeo Government Medical College, Ambikapur, Chhattisgarh, India.

出版信息

Bioinformation. 2025 Feb 28;21(2):137-144. doi: 10.6026/973206300210137. eCollection 2025.

DOI:10.6026/973206300210137
PMID:40322689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12044173/
Abstract

Scrub typhus is a febrile illness caused by through trombiculid mite, bite . It is often unrecognized due to its vague symptoms. It is prevalent in the Rewa region of Madhya Pradesh, India. Therefore, it is of interest to assess hepatic dysfunction and to establish the association between liver function test parameters and disease severity in confirmed Scrub typhus cases. Hence, 50 IgM ELISA positive cases from July to September 2024 at Shyam Shah Medical College, Rewa were studied. Data were analysed using IBM SPSS 25 software, with Spearman's correlation used to relate severity, liver function test parameters and fever duration. The average fever duration was 6.22 days, with 80% of patients showing serum glutamate oxaloacetate transaminase and 70% showing serum glutamate pyruvate transaminase abnormalities. Thus, there was a correlation between disease severity and liver dysfunction, with moderate injury in 62% and severe injury in 38% of patients.

摘要

恙虫病是一种由恙螨叮咬引起的发热性疾病。由于其症状不明确,常常未被识别。它在印度中央邦雷瓦地区流行。因此,评估恙虫病确诊病例的肝功能障碍,并确定肝功能测试参数与疾病严重程度之间的关联具有重要意义。因此,对2024年7月至9月在雷瓦市希亚姆·沙阿医学院确诊的50例IgM ELISA阳性病例进行了研究。使用IBM SPSS 25软件对数据进行分析,采用Spearman相关性分析来关联疾病严重程度、肝功能测试参数和发热持续时间。平均发热持续时间为6.22天,80%的患者血清谷草转氨酶异常,70%的患者血清谷丙转氨酶异常。因此,疾病严重程度与肝功能障碍之间存在相关性,62%的患者为中度损伤,38%的患者为重度损伤。