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ID 15927
Eprint ID
15927
FullText URL
Thumnail 99_577.pdf 746 KB
Title Alternative
Tsutsugamushi disease: report of a case which occurred in Okayama prefecture
Author
Ohtani, Yuko
Kitagawa, Motosuke
Abstract
This paper reports the first case of tsutsugamushi disease (scrub typhus) occurred in Okayama prefecture. The present case was characterized by : 1) arthralgia, conjunctivitis, cough, headache and intermittent fever with malaise, 2) an ulcer (10×7 mm) covered with reddish black eschar, which developed at the inoculation site on the middle of the anterior border of the left axilla, and swelling of the lymphnodes, 3) rash on the whole body, which blanched on pressure, and 4) a positive reaction to the test for C-reactive protein (CRP). Administration of piperacillin (1 g/day, for 2 days) was not effective at all, but that of minocycline (200 mg/day, for 1 day, followed by 100 mg/day, for 7 days) was so effective that body temperature rapidly fell to normal within a day. The general condition improved promptly. The indirect immunoperoxidase reaction showed a high titer of serum antibody for the Karp type of Rickettsia tsutsugamushi. Since Rickettsia tsutsugamushi is distributed widely in Japan, including Okayama prefecture, the physician should take tsutsugamushi disease into consideration when diagnosing acute feverish illnesses.
Keywords
つつが虫病
岡山県
Published Date
1987-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume99
Issue
issue5-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
577
End Page
581
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/99/5-6/99_5-6_577/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/index.html
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma