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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Important Clinical Features of Japanese Spotted Fever
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Important Clinical Features of Japanese Spotted Fever

机译：日本斑点发烧的重要临床特征

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Japanese spotted fever (JSF) is a zoonosis transmitted by ticks carrying the pathogen Rickettsia japonica. The classic triad of JSF symptoms is high fever, erythema, and tick bite eschar. About 200 people in Japan develop the disease every year. Japanese spotted fever is also a potentially fatal disease. At Minami-Ise Municipal Hospital in Japan, 55 patients were diagnosed with JSF from 2007 to 2015, which was equivalent to 4.3% of the total JSF cases in Japan. In this retrospective study, we examined the medical records of these 55 JSF cases. Fever, erythema, eschar, and elevated C-reactive protein (CRP) are characteristic clinical features of the disease. We confirmed four of these in the reviewed cases; however, eschar was not present in occasional cases. We confirmed that eosinopenia appeared in nearly all cases. Using fever, erythema, elevated CRP, and eosinopenia in diagnostic screening, our positivity rate was 90.9%. In our clinical practice, including eosinopenia improves the initial diagnosis of JSF.
机译：日本被察觉的发烧（JSF）是一种由蜱携带病原体Rickettsia japonica传播的动物病。 JSF症状的经典三合会是高烧，红斑和蜱咬埃斯科。每年约有200人在日本发展疾病。日本斑点发烧也是一个潜在的致命疾病。在日本闽甸市医院，55名患者于2007年至2015年被诊断为JSF，相当于日本JSF总案件的4.3％。在这项回顾性研究中，我们研究了这些55个JSF病例的病程。发烧，红斑，ESCHAR和升高的C反应蛋白（CRP）是疾病的特征临床特征。我们在审查的案件中确认了其中的四个;然而，ESCHAR在偶尔病例中不存在。我们确认eosinopenia几乎出现了所有案例。在诊断筛查中使用发烧，红斑，升高的CRP和eosinopenia，我们的积极率为90.9％。在我们的临床实践中，包括嗜血症尼亚症改善了JSF的初步诊断。

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