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쯔쯔가무시병의 임상 특징과 진단

ClinicalFeaturesandDiagnosisofScrubTyphu

감염과화학요법 2009년 41권 6호 p.315 ~ 322
김동민,
소속 상세정보
김동민 ( Kim Dong-Min ) - 조선대학교 의과대학 감염내과학교실

Abstract


Scrub typhus is the most common rickettsial disease in Korea. Scrub typhus is an acute febrile illness with characteristic findings such as high fever, rash, headache, and eschar. It is caused by intracellular gram-negative bacteria Orientia tsutsugamushi. Infection occurs when larvae of thrombiculid mite (chiggers) infected with O. tsutsugamushi bite people and suck human tissue fluid. Although scrub typhus runs a mild clinical course and shows a good response to antibiotic therapy, serious complications such as interstitial pneumonia, acute renal failure, meningoencephalitis, gastrointestinal bleeding, and multiple organ failure may develop when diagnosis is delayed and can even lead to death. It is often difficult to diagnose scrub typhus only by clinical features and therefore, more rapid and accurate diagnostic evaluation may be required. This review will focus on clinical feature, and diagnosis of scrub typhus.

키워드

Scrub typhus;Orientia tsutsugamushi;Clinical feature;Diagnosis

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등재저널 정보

KCI
KoreaMed
KAMS