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精品3囊尾蚴病ppt课件_2
Scrub Typhus(恙虫病)Department of Infectious Diseases, the Third Affiliated HospitalLi Gang ;Definition;Etiology;Epidemiology;imago ;Epidemiology;Epidemiology; Pathogenesis ; Pathology
Basic lesion:
inflammation of the walls of the small blood vessels
Pathologic findings:
eschar, lymphadenopathy, rash, enlargement of spleen and liver
Serious pathologic manifestations:
myocarditis, meningoencephalitis, pneumonia, interstitial nephritis;Clinical manifestations
Incubation period: 4~21 days
Sudden onset, High fever: remittent fever accompanied by chill, headache, malaise, prostration, poor appetite.;Clinical manifestations
Signs of multiorgan damage:
Meningoencephalitis: delirium, convulsion, coma, and neck stiffness.
Interstitial pneumonia: cough, chest pain, breathlessness.;Clinical manifestations
Signs of multiorgan damage:
Myocarditis: gallop rhythm, poor
quality heart sounds, systolic
murmurs.
Hepatitis: jaundice, hemorrhage.
Natural course: 2~3 weeks. ;Characteristic manifestations
⒈ Eschar and ulceration:
Characteristic sign.
Seen in 36.9~98% of patients.
Generally located in warm, wet, intense smelled areas. ;; eschar;eschar;; Characteristic manifestations
2. Lymphadenopathy:
Enlarged markedly regional
lymph nodes near the eschar.
Generalized lymphadenopathy.
Painful, movable, not purulent.; Characteristic manifestations
3. Rash:
Appears on the 4th to the 6th day.
Beginning on the trunk, spread to the extremities.
Maculopapular, congestive, no itching.
Lasting 3~7 days.
Seen in 35~100% of patients.; Characteristic manifestations
4. Splenomegaly and hepatomegaly
Splenomegaly :
30~50% of patients.
Hepatomegaly:
10~20% of patients.; Complications Pneumonia, myocarditis, hepatitis, DIC.;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Differential Diagnosis ;Treatment ;Prevention;Cystice
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