Y Qu1. 1. Department of Respiratory Diseases, Xiamen First Hospital, Xiamen 361003, China.
Abstract
OBJECTIVE: To deepen the understanding of pulmonary damage caused by scrub typhus. METHODS: 31 cases of pulmonary damage caused by scrub typhus from 1993 to 1998 were reviewed with chest radiographs, chest B-ultrasound, etc. RESULTS: 44% cases with scrub typhus showed a pulmonary damage (31/70), in which 66% (20/31) had cough, 53% (16-31) had sputum, 53% (16/31) had rales and the most symptoms were mild. Chest X-rays: 45% (14/31) showed pulmonary interstitial lesion, 53%(16/31) pulmonary effusion lesion and 8 cases pleural lesion. 26% (8/31) of pleural effusion was confirmed by chest B-ultrasound. Respiratory failure was found in 5 cases. All cases were treated with chloramphenicol and(or) doxycyclinum and made a good recovery. CONCLUSION: The pulmonary damage caused by scrub typhus should be paid more attention to for avoiding misdiagnosis.
OBJECTIVE: To deepen the understanding of pulmonary damage caused by scrub typhus. METHODS: 31 cases of pulmonary damage caused by scrub typhus from 1993 to 1998 were reviewed with chest radiographs, chest B-ultrasound, etc. RESULTS: 44% cases with scrub typhus showed a pulmonary damage (31/70), in which 66% (20/31) had cough, 53% (16-31) had sputum, 53% (16/31) had rales and the most symptoms were mild. Chest X-rays: 45% (14/31) showed pulmonary interstitial lesion, 53%(16/31) pulmonary effusion lesion and 8 cases pleural lesion. 26% (8/31) of pleural effusion was confirmed by chest B-ultrasound. Respiratory failure was found in 5 cases. All cases were treated with chloramphenicol and(or) doxycyclinum and made a good recovery. CONCLUSION: The pulmonary damage caused by scrub typhus should be paid more attention to for avoiding misdiagnosis.