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1 引言恙虫病(丛林斑疹伤寒)由恙虫病立克次体引起的一种自然疫源疾病,易感人群广泛。其特异病理变化是广泛的血管周围炎和血栓性血管炎,导致多脏器受累,临床表现错综复杂。近年来非典型病例与日俱增,一旦放松警惕,从而导致误诊者实非偶见。鉴于此,结合文献将恙虫病的非典型表现作一概述。 2 非典型的临床表现 2.1 心血管系统的非典型临床表现较常见立克次体释放的毒索致心脏间质性炎症引起局灶性或弥漫性心肌炎。表现为心率快而弱、心律不齐、儿童心率改变较成
1 Introduction scrub typhus (jungle typhus) Rickettsia tsutsugamushi caused by a natural epidemic disease, a wide range of susceptible populations. Its specific pathological changes are extensive perivascular inflammation and thrombotic vasculitis, resulting in multiple organ involvement, clinical manifestations of complex. In recent years, the number of atypical cases is on the rise. Once we relax our vigilance, misdiagnosis is not a common occurrence. In view of this, the atypical manifestations of scrub typhus are summarized in the literature. 2 atypical clinical manifestations 2.1 atypical clinical manifestations of cardiovascular system Rickettsia common release of drug-induced cardiac interstitial inflammation caused by focal or diffuse myocarditis. The performance of fast and weak heart rate, arrhythmia, heart rate changes in children into more