精品3囊尾蚴病课件_4.pptVIP

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精品3囊尾蚴病课件_4.ppt

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精品3囊尾蚴病课件_4

Scrub Typhus（恙虫病）Department of Infectious Diseases, the Third Affiliated HospitalLi Gang ;Definition;Etiology;Epidemiology;imago ;Epidemiology;Epidemiology; Pathogenesis ; Pathology Basic lesion: inflammation of the walls of the small blood vessels Pathologic findings: eschar, lymphadenopathy, rash, enlargement of spleen and liver Serious pathologic manifestations: myocarditis, meningoencephalitis, pneumonia, interstitial nephritis;Clinical manifestations Incubation period: 4～21 days Sudden onset, High fever: remittent fever accompanied by chill, headache, malaise, prostration, poor appetite.;Clinical manifestations Signs of multiorgan damage: Meningoencephalitis: delirium, convulsion, coma, and neck stiffness. Interstitial pneumonia: cough, chest pain, breathlessness.;Clinical manifestations Signs of multiorgan damage: Myocarditis: gallop rhythm, poor quality heart sounds, systolic murmurs. Hepatitis: jaundice, hemorrhage. Natural course: 2～3 weeks. ;Characteristic manifestations ⒈ Eschar and ulceration: Characteristic sign. Seen in 36.9～98％ of patients. Generally located in warm, wet, intense smelled areas. ;; eschar;eschar;; Characteristic manifestations 2. Lymphadenopathy: Enlarged markedly regional lymph nodes near the eschar. Generalized lymphadenopathy. Painful, movable, not purulent.; Characteristic manifestations 3. Rash: Appears on the 4th to the 6th day. Beginning on the trunk, spread to the extremities. Maculopapular, congestive, no itching. Lasting 3～7 days. Seen in 35～100％ of patients.; Characteristic manifestations 4. Splenomegaly and hepatomegaly Splenomegaly : 30～50％ of patients. Hepatomegaly: 10～20％ of patients.; Complications Pneumonia, myocarditis, hepatitis, DIC.;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Diagnosis ;Differential Diagnosis ;Treatment ;Prevention;Cystice