上海市输入性恙虫病1例分析  

Analysis of a case of imported tsutsugamushi disease in Shanghai

作　　者：朱麟 何晓定[1] ZHU Lin;HE Xiaoding(Changning District Center for Disease Control and Prevention,Shanghai China)

机构地区：[1]上海市长宁区疾病预防控制中心,上海200051

出　　处：《上海预防医学》2024年第10期1008-1010,共3页Shanghai Journal of Preventive Medicine

基　　金：长宁区急性传染病防制硕博士创新人才基地(RCJD2022S09)。

摘　　要：【目的】探讨1例外省输入性恙虫病患者的临床特征与流行病学史,明确恙虫病诊断和预防控制要点。【方法】针对长宁区内1例确诊的恙虫病患者,回顾性分析其临床症状、诊疗过程及流行病学资料,并做风险评估。【结果】患者既往有云南西双版纳旅居史,并出现反复高热,耳后有结痂与黄豆大小淋巴结肿大,面部及躯干见红色皮疹等症状,恙虫病东方体核酸阳性,给予系统治疗后痊愈。患者常住上海,冬季存在宿主与传播媒介的可能性低,故疫情传播风险较低。【结论】恙虫病在发病初期临床表现并不典型,需要关注流行病学史与特异性症状,并加强对重点人群开展恙虫病健康宣教。[Objective]To investigate the clinical characteristics and epidemiological history of an imported case of tsutsugamushi disease,and to identify the diagnosis and key points of prevention and control.[Methods]The clinical symptoms,diagnosis and treatment process,and epidemiological data were retrospectively analyzed for a case of tsutsugamushi disease in Changning District.A risk assessment was conducted concurrently.[Results]The patient had a history of traveling to or living in Xishuangbanna,Yunnan Province,and presented with symptoms such as recurrent high fever,scabbing and peanut-sized lymph node swelling behind the ear,and red rashes on the face and trunk.The patient tested positive for nucleic acid from Orientia tsutsugamushi and was cured after receiving comprehensive treatment.The patient resides in Shanghai,where the likelihood of hosts and vectors being present in winter is low,hence the risk of epidemic transmission was deemed low.[Conclusion]The clinical manifestations of tsutsugamushi disease are not typical in the early stages of the disease.Attention should be paid to epidemiological history and specific symptoms of tsutsugamushi disease,and to strengthen health education and promotion efforts for key populations.

关 键 词：恙虫病 丛林斑疹伤寒 恙虫病东方体 风险评估 病例分析 

分 类 号：R183.5[医药卫生—流行病学]