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恙虫病是一种由恙虫病立克次体引起的急性自然疫源性疾病。临床表现多样化,甚至突出某一系统或脏器的临床表现,如不仔细鉴别,易致误诊。一、误诊为上消化道出血例1,男,45岁.高热39.7℃伴黑便3天,否认有溃疡病史。门诊连续二次化验大便OB(+++～++++),初诊为上消化道出血于1989年7月25日住院。体检:T38.8℃,R24次/分,P104次/分,Bp 10.7/6.7kPa;全身可见散在暗红色皮疹,两腋下及腹股沟淋巴结肿大,心肺正常,肝肋下2cm,
Scrub typhus is a type of acute natural foci caused by Rickettsia tsutsugamushi disease. Diversified clinical manifestations, or even highlight the clinical manifestations of a system or organ, if not carefully identified, easy to cause misdiagnosis. First, misdiagnosed as upper gastrointestinal bleeding cases 1, male, 45 years old .Heat 39.7 ℃ with melena for 3 days, denied a history of ulcers. Outpatient consecutive secondary test stool OB (+++ ~ ++++), first diagnosed as upper gastrointestinal bleeding in July 25, 1989 hospitalization. Physical examination: T38.8 ℃, R24 times / min, P104 times / min, Bp 10.7 / 6.7kPa; whole body visible scattered dark red rash, two axillary and inguinal lymph nodes, normal heart and lung, liver ribs 2cm,