Scrub typhus and hepatitis A clinical analysis of Gram-negative bacteria sepsis_0.docVIP

 PAGE \* MERGEFORMAT 6 Scrub typhus and hepatitis A clinical analysis of Gram-negative bacteria sepsis [Keywords:] scrub typhus; viral hepatitis; sepsis Scrub typhus is caused by a rickettsia Yangchong acute infectious diseases, is the common disease, but the disease is a rare combination hepatitis A and sepsis, which attracted the attention of clinicians to avoid missed diagnosis, the report is as follows. 1 Clinical data Male patient, 54 years old, with body pain fever chills 4 days on September 11, 2009 to stay in our department. 4 days before admission, patients have no incentive to chills, fever and body aches, headache, dizziness, satisfied with worse, loss of appetite, fatigue, occasional cough, no hot flashes, night sweats, hemoptysis, no runny nose, nasal resistance, infusion therapy in other hospitals, no good to my hospitalization for treatment, out-patient clinic with fever to be income to our department. Admission examination: T: 39.7 , P: 120 times / min, R: 25 times / min, BP: 110/60mmHg, conscious, apathetic, into the wards, acute heat sickly, the right superficial inguinal lymph node swelling large, conjunctival hyperemia, scleral no yellow dye, lips dry, throat congestion, bilateral flat pick I degree of swelling body, congestion, no pus points, pus moss, soft neck, chest wall, without percussion pain, lungs clear breath sounds, dual and a small amount of fine under the wet smell of lung rales, heart rate 120 beats / min, heart rate Qi, and the noise is not heard, the whole abdomen without tenderness, no rebound tenderness, muscular tension, liver, kidney area without percussion pain, see a right scrotal oval ulcers, central depression, see the yellow fur covers the surrounding uplift, an area of #8203;#8203;0.5cm 0.3cm, and around which a flush, no lower extremity edema, limb muscle strength, muscle tone normal, the pathological negative. Laboratory tests: blood: WBC 8.8 109 / L, GR% 84.1%, RBC 4.36 109 / L, HGB 127G / L,