[Clinical analysis of 50 cases of pulmonary complications associated with Tsutsugamushi disease]
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Published on: September 5, 2017
Zhongda Liu1, Gensheng Chen, Haiquan Chen
1Department of Respiratory Diseases, Lishui Chinese Medicine Hospital, Lishui 323000, China.
Objective:
To study the clinical features of pulmonary complications associated with tsutsugamushi disease.
Methods:
Two hundred and thirty two patients with tsutsugamushi disease were retrospectively analyzed by chest X-ray, ultrasonography and lung function test. The differential diagnosis of tsutsugamushi disease associated lung complications from mycoplasma pneumonia, streptococcal pneumonia and tuberculosis was discussed.
Results:
Pulmonary complications were present in 21.6% (50/232) of the patients with tsutsugamushi disease. Of them 42% were initially misdiagnosed as other pulmonary diseases. The characteristic radiographic manifestation was exudative lesions. The lesions were bilateral in 36 cases (72%), and unilateral in 14 cases (28%). Pleural effusion was present in 16 cases. Chloromycetin was effective in all the cases.
Conclusions:
Pulmonary complications were common in tsutsugamushi disease. The prognosis was good if diagnosed and treated properly at an early stage.
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