Donohue J F
Arch Intern Med. 1980 Feb;140(2):223-7.
A retrospective study of 35 patients with Rocky Mountain spotted fever was undertaken to determine the frequency of respiratory symptoms, as well as to analyze the types of pulmonary problems encountered to hospital patients. Cough, present in only 33% of patients, led to an incorrect initial diagnosis and delay in therapy in eight individuals. Lower respiratory tract involvement (rales, abnormal chest roentgenograms, and abnormal gas exchange) was present in 42% of patients at some point during the illness. The conditions of nine patients deteriorated during the first week of hospitalization. Pulmonary edema (probably noncardiogenic) was the usual explanation for worsening gas exchange. Bacterial pneumonia and hemorrhage were detected in only two patients.
对35例落基山斑疹热患者进行了一项回顾性研究，以确定呼吸道症状的发生率，并分析住院患者所遇到的肺部问题类型。咳嗽仅出现在33%的患者中，导致8例患者初步诊断错误并延误治疗。42%的患者在病程中的某个阶段出现下呼吸道受累（啰音、胸部X线片异常和气交换异常）。9例患者在住院第一周病情恶化。肺水肿（可能是非心源性的）通常是气交换恶化的原因。仅在2例患者中检测到细菌性肺炎和出血。
