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恙虫病主要见于我国的东南、西南地区,台湾及海南岛均有病例发生。西沙群岛未见有报导。作者最近发现发病在西沙群岛的恙虫病1例,现报导如下。男,21岁,通讯兵,发病地址在西沙群岛。病者左腹股沟部疼痛11天,发热9天,于1980年12月22日入院。入院前11天在西沙群岛,无明显诱因觉左腹股沟处疼痛不适,影响行走,经6天后疼痛减轻。10天前开始头痛、头晕、轻度咽痛、咳嗽、咳白色粘痰、量少。9天前出现畏寒、发热。8天前仍发热,伴疲乏、纳差、四肢酸痛。曾在卫生所就诊,诊为“上感”,给予APC及感冒药口服无效。6天前到达广州。5天前呕吐5次,为少量胃内容物,4天前在广州某卫生队诊治,诊为“感冒”,给予对症处
Tsutsugamushi disease mainly seen in our southeast, southwest, Taiwan and Hainan Island have cases. Xisha Islands have not been reported. The authors recently found that the incidence of tsutsugamushi disease in the Xisha Islands, are reported as follows. Male, 21 years old, communications soldiers, the incidence address in the Xisha Islands. Patients with left groin pain for 11 days, fever 9 days, on December 22, 1980 admission. 11 days before admission in the Xisha Islands, no obvious incentive to feel pain and discomfort left groin, affecting walking, pain relief after 6 days. 10 days ago began to headache, dizziness, mild sore throat, cough, cough white phlegm, less. 9 days ago chills, fever. 8 days ago still fever, with fatigue, anorexia, limbs and sore. Visits at the clinic, diagnosed as “flu”, given APC and cold medicine oral invalid. Arrived in Guangzhou 6 days ago 5 days ago vomiting 5 times, a small amount of stomach contents, 4 days ago in Guangzhou, a health team diagnosis and treatment, diagnosed as “cold” to give symptomatic