Observation on Clinical Characteristics of Tsutsugamushi Disease in the Epidemic Focus, Hebei Province

Objective: To understand clinical characteri stic of tsutsugamushi disease occurred in Hebei province. Methods:General check-up for all the cases were carried out in scene of the epidemic focus.All the patients were diagnosed by s erological method tested to be positive of IgM antibody to tsutsugamushi disease .Result:Average temperature of the patients was 39.7℃ ,and fever-duration w es 9.0 days.Among 38 patients,30 cases (78.95%)with eschar,22 cases (5 7.89%) with rash and 34 cases (89.47%) with lymph node enlargement were fo und. 29(96.67%) of 30 cases with eschar were one eschar per case.The eschars were mainly distributed on waist,groin,inside of thigh and so on.Rash appeared 1 st to 8th day after attack,and duration wes 2-8 days(average 4.5 days). M ost of systems of the body were implicated,and 4 cases (10.5%) were complica ted by pneumonia,encephalopathy,encephaledema,heart failure and toxic shock. Conclusion:Clinical symptoms and manifestations of the mos t cases were typical.But a part of cases need diagnosis with serological methods.