Research progress of scrub typhus complicated with acute respiratory distress syndrome
Scrub typhus is a local epidemic disease infected by the bite of chigger larvae.It is an intracellular disease caused by rickettsia orientalis infection.It usually shows no obvious specificity at first,similar to the symptoms of influenza,such as fever,headache,cough,muscle aches,temporary hearing loss,etc.Some patients can find specific eschar and lymph node enlargement on physical examination,and the disease can involve multiple organs in the body.Severe patients often have acute respiratory dis-tress syndrome(ARDS),acute renal failure,myocarditis,meningitis,DIC and other complications.At present,people have a poor understanding of this disease.Because the first doctors are mostly primary-level doctors,the rate of misdiagnosis and missed diagnosis of tsutsugamushi is still high.According to the different strains of tsutsugamushi disease in different regions,the differ-ence in disease detection time,and the difference in population genetics,the positive rate of Weifi test is poor.Currently,there are few studies on Tsutsugamushi disease combined with acute respiratory distress syndrome.This paper reviews the latest research progress in diagnosis and clinical treatment of Tsutsugamushi disease combined with acute respiratory distress syndrome.The aim is to provide reference for clinical diagnosis and treatment of scrub typhus complicated with ARDS.
万方数据
维普
