恙虫病于1986年在我地暴发流行,典型者诊断不难。以后随着人群中隐性感染及体内抗体的增加,发病人数逐年有所减少,临床表现也日趋不典型。1986年至1991年我院共诊治恙虫病942例,院外或初诊误诊者共135例,误诊率为14.3%,现将误诊情况报告如下。临床资料135例中,男89例,女46例。年龄2～72岁,以20～49岁为最多(47.41%)。农民102例,工人33例。121例有野外作业史,居住在村边者46例;寒颤、高热、头痛、四肢酸痛、食欲下降104例,咳嗽42例,恶心、呕吐18例,便秘19例,腰痛46例,眼眶后痛或眼球转动痛23例,颜面潮红92例,结膜充血 Tsutsugamushi disease outbreak in my epidemic in 1986, the typical diagnosis is not difficult. With the subsequent recessive infection in the population and increased antibody in vivo, the number of patients decreased year by year, clinical manifestations are increasingly atypical. From 1986 to 1991, 942 cases of tsutsugamushi disease were diagnosed and treated in our hospital, 135 cases were misdiagnosed outside the hospital or newly diagnosed. The misdiagnosis rate was 14.3%. The misdiagnosis status is reported as follows. Clinical data 135 cases, 89 males and 46 females. The age of 2 to 72 years old, 20 to 49 years old (47.41%). 102 farmers and 33 workers. There were 121 cases with field work history, living in the village edge of 46 cases; chills, fever, headache, limbs, 104 cases of decreased appetite, cough in 42 cases, nausea and vomiting in 18 cases, constipation in 19 cases, 46 cases of back pain, Or eye rotation pain in 23 cases, 92 cases of facial flushing, conjunctival hyperemia