丘疹斑疹伤寒是由丘疹虫东方痴呆引起的,革兰氏阴性球杆菌。它包括三个菌株:卡普,Gilliam,加藤。通常在亚太地区发现斑疹伤寒的病例,他们的表现可能从轻微的症状到多器官受累,有或没有焦痂标记的存在。斑疹伤寒的各种表现,比如坏疽,脑膜脑炎,贫血伴黄疸,血尿,已被观察到。在印度北部的Kumaun地区,斑疹伤寒病例数量激增。通常,这种疾病伴有焦痂痕迹,但偶尔它可以表现没有一个。我们报告了一系列四例表现出各种异常症状的病例,例如四肢坏疽,脑膜脑炎,黄疸,还有血尿.所有对治疗无反应的急性发热性疾病患者都应考虑斑疹伤寒的血清学检查,尤其是在山区,防止相关的死亡率。
Scrub typhus is caused by Orientia tsutsugamushi, a Gram-negative coccobacillus. It comprises three strains: Karp, Gilliam, and Kato. Cases of scrub typhus are usually found in the Asia-Pacific region, and their presentation may range from minimal symptoms to multi-organ involvement, with or without the presence of an eschar mark. Varying manifestations of scrub typhus, such as gangrene, meningoencephalitis, anemia with jaundice, and hematuria, have been observed. In the Kumaun region of northern India, there has been a surge in the number of scrub typhus cases. Typically, this disease is accompanied by an eschar mark, but occasionally it can manifest without one. We report a series of four cases presenting with various unusual symptoms such as gangrene of the limbs, meningoencephalitis, jaundice, and hematuria. Serology for scrub typhus should be considered in all patients with acute febrile illness not responding to treatment, especially in mountainous regions, to prevent the associated mortality.