恙虫病为一种自然疫原性疾病,病原体为东方立克次体,其毒素可引起全身各脏器受损,临床以寒战高热、四肢酸痛、头痛、焦痂和溃疡、皮疹、淋巴结肿大为特征。本病近年在我县有散发出现,现将本院9例恙虫病误诊为流行性出血热作临床分析如下: 本组男性6例,女性3例,年龄5—16岁。寒战高热(39℃以上)7例,持续高热(无寒战)2例,头痛7例,腰痛4例,恶心呕吐2例,咳嗽2例,腹痛1例,酒醉貌4例,球结膜充血5例,腋下皮肤、软腭处出血点3例,红色皮疹3例,肾区叩痛4例。血常规中异常淋巴细胞增多5例,血小板减少7例(31—72×10~9/L),尿蛋白阳性 Tsutsugamushi disease is a natural epidemic disease, the pathogen is Rickettsia orientalis, its toxins can cause damage to various organs of the body, clinical chills, fever, limb pain, headache, eschar and ulcers, rash, swollen lymph nodes For the characteristics. The disease in my county in recent years have sporadic appear now in our hospital nine cases of tsutsugamushi misdiagnosed as epidemic hemorrhagic fever clinical analysis is as follows: The group of 6 males and 3 females, aged 5-16 years. Chills high fever (39 ℃ above) in 7 cases, sustained fever (no chills) in 2 cases, headache in 7 cases, 4 cases of back pain, nausea and vomiting in 2 cases, 2 cases of cough, abdominal pain in 1 case, drunk in 4 cases, conjunctival hyperemia 5 Cases, armpit skin, soft palate at the bleeding point in 3 cases, 3 cases of red rash, renal percussion pain in 4 cases. Blood routine abnormal lymphocytosis in 5 cases, thrombocytopenia in 7 cases (31-72 × 10 ~ 9 / L), urinary protein positive