本文报道第12～17病日才诊断的恙虫病5例,其中出现黄疽及急性肾衰各2例。伴有黄疽的恙虫病国内罕见报道。作者提出,应提高医务人员对该病的认识,特别应强调对“发热待查”的病人进行详细的体检,以便早期发现焦痂、溃疡及肿痛的浅表淋巴结。对可疑者及早作特效治疗,并动态观察外斐氏OXk的效价,以助诊断。 This article reports the diagnosis of scrub typhus in the first 12 to 17 days in 5 cases, of which jaundice and acute renal failure in 2 cases. Scrub typhus accompanied by jaundice rarely reported in China. The authors suggest that medical staff should raise awareness of the disease, with special emphasis on the detailed physical examination of “fever checkup” patients in order to early detection of superficial lymph nodes of eschar, ulcers and swelling. Treating suspicious persons as early as possible, and dynamically observing the potency of Ophiopogon japonicus OXk to help diagnose.