Thursday, September 13, 2012

Had a high fever and suffered from tsutsugamushi mite's disease carefully after the grass sat

Had a high fever and suffered from tsutsugamushi mite's disease carefully after the grass sat
At the lawn in campus, see book, chat, expect university student Xiao Xiao begin to have a high fever after being sit down for a whole morning on the lawn no very, red small papule appears all over, suffer from " strange disease " . He successively went to three or four hospitals, diagnosed as cold, nephropathy and syndrome, malignant lymphoma,etc. separately, until the fact that the intersection of Zhongshan University and the intersection of ease and celestial being Sun commemorate hospital infectious disease department seek medical advice, make a definite diagnosis of into their as " tsutsugamushi mite's disease " . The expert introduces, tsutsugamushi mite's disease is named " the sand louse is hot " in regions of South China ,It is one kind that, by moles in order to infect the source, the illness mite is acute infectious disease of the media, if does not treat in time, mortality is quite high.
Five mountain areas are the old epidemic-stricken area of tsutsugamushi mite's disease
It has eschar on one's body that patient's obvious characteristic is
Interview expert the intersection of Zhongshan University and the intersection of ease and celestial being Sun commemorate hospital infect head of the department Zhang Li cut down Professor
Document Yangcheng Evening News reporter a China reporter Zhu SuYing
Five mountain areas are the old epidemic-stricken area of tsutsugamushi mite's disease
"Our infectious disease department can accept the ill patient of worm of 20-30 Qiang for medical treatment in one year. In at Guangzhou urban area, five mountain area is for the epidemic-stricken areas old of tsutsugamushi mite disease,and in urban area in every large woods of park, in meadow, also hiding the huge illness mite's legion. " Zhongshan University the intersection of ease and celestial being Sun commemorate hospital the intersection of infectious disease department and piece set up, cut down professor, say " illness mite comparatively active in subtropical district, warm Guangzhou is the activity of the whole year in the climate, but peak period often appear in summer and autumn. This kind of small worm breeds in the terrain comparative low-lying, moist and weedy place, also will depend on the mouse, birds at home for a living, creep and on the amphibian animal animal, domestic cats, rabbits are also common. So, while weeding, playing on the meadow, are probably bitten by the illness mite. "
The mouth of the illness mite is still very tricky, choose skin such as axillary, groin and vulva thinner and softer place to bite specially. There is a kind of strange microorganism in the saliva of the illness mite - --The tsutsugamushi mite sets up body of each, this is a kind of pathogen between bacterium and virus, it is smaller, bigger than the virus than the bacterium. This kind of microorganism will cause the infection of human whole body, infringe a plurality of organs, if does not treat in time, mortality is up to 20%-30%.
State the disease and neglect the meadow activity to cause and misdiagnose high
Because the intersection of Qiang and the intersection of worm and disease often displays whole body symptom, so is very easy to be misdiagnosed. Because of high fever, about 80% of the patients will misdiagnose as upper airway infection, see respiratory medicine or emergency call at first. Secondly will be misdiagnosed as nephropathy and syndrome, or liver function is unusual, some present the enlargement of lymph nodes of simple table of whole body, even misdiagnosed as lymphoma.
Originally, the patient bitten by the worm of Qiang was mainly by having a high fever to go to a doctor, the patient may omit the movable and over experience on the meadow while telling the medical history. Second, there are in the obscure place of skin more positions bitten because of the illness mite, places such as the axillary, vulva,etc., and superficial, check half-heartedly, it is difficult to find eschar. Third, when the patient comes to examine, if ill time is relatively long, eschar has already been lossed, a healing of wound surface, it is more difficult to find while checking.

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