ロッキーマウンテン斑点熱を疑われる患者の麻疹

P I Nieburg, L J D'Angelo, K L Herrmann

JAMA

|August 22, 1980

まとめ

麻疹の抗体タイトルの上昇は,当初ロッキーマウンテン斑点熱を疑われた個人に検出された. 未診断の発熱性発疹疾患を有する若年および若年成人では,麻疹を考慮する必要があります.

科学分野:

感染症感染症は感染症です.
免疫学免疫学とは
エピデミオロジーエピデミオロジー

背景:

ロッキーマウンテン斑点熱 (RMSF) は,によって伝染する深刻な病気です.
麻疹は,発熱と発疹によって特徴づけられる非常に伝染性の高いウイルス性疾患です.
発熱性発疹疾患の差異診断は難しいことがあります.

研究の目的:

予期せぬ麻疹抗体タイトルの上昇を調査するために,最初はRMSF.のためにテストされた患者で.
発熱性発疹を呈する特定の患者集団において,麻疹を考慮する重要性を強調する.

主な方法:

RMSFが疑われる患者のペア化された血清の血清学的検査.
診断タイトルの分析は,麻疹抗体に対する診断タイトルの上昇です.

主要な成果:

46人中6人 (13%) のRMSFに最初血清学的に陰性であった個人は,麻疹抗体の診断タイトルの上昇を示しました.
非典型的または典型的な麻疹は,青少年および若い成人の間でますます流行しています.

結論:

麻疹は,未診断の発熱性発疹疾患を呈する青少年および若年成人の差異診断に含まれるべきであり,特にRMSFが当初疑われるが,排除された場合には特にそうである.
予期せぬ麻疹血清転換は,他の熱性疾患が疑われる患者でも起こり得る.

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