Chest radiographic presentation in patients with scrub typhus

被引:9
作者
Chen, Hung-Cheng [1 ]
Chang, Huang-Chih [1 ]
Chang, Ya-Chun [1 ]
Liu, Shih-Feng [1 ]
Su, Mao-Chang [1 ]
Huang, Kuo-Tung [1 ]
Lin, Meng-Chih [1 ]
Wang, Chin-Chou [1 ,2 ]
机构
[1] Chang Gung Univ, Coll Med, Div Pulm & Crit Care Med, Dept Internal Med,Chang Gung Mem Hosp,Kaohsiung M, Kaohsiung, Taiwan
[2] Kaohsiung Med Univ, Grad Inst Occupat Safety & Hlth, Kaohsiung, Taiwan
关键词
Chest radiography; Scrub typhus; ORIENTIA-TSUTSUGAMUSHI; RICKETTSIA-TSUTSUGAMUSHI; EASTERN TAIWAN; LIVER-FUNCTION; RISK-FACTORS; EPIDEMIOLOGY; INFECTION; DIAGNOSIS;
D O I
10.1016/j.trstmh.2011.09.005
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We conducted a retrospective study of the adult patients (age >= 18 years) with serologically confirmed scrub typhus admitted between January 1998 and December 2009 at Kaohsiung Chang Gung Memorial Hospital. There were 63 adult scrub typhus patients with chest radiographic examinations. A total of 147 chest radiographs were obtained and reviewed. The most frequent abnormal findings in this study were parenchymal infiltration with bilateral and lower lung predilection. The distribution of abnormal chest radiographs was observed more than 50% during the first week. Furthermore, the progressive change was frequently observed during the first week. There is a significant correlation among laboratory findings, clinical course, and outcome. Chest radiography may be a complementary tool to evaluate the clinical course of scrub typhus and chest radiographic examinations should be taken during the first week after the onset of illness. (C) 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:48 / 53
页数:6
相关论文
共 26 条
[1]   Clinical features of scrub typhus [J].
Basnyat, B ;
Belbase, RH ;
Zimmerman, MD ;
Woods, CW ;
Reller, LB ;
Murdoch, DR .
CLINICAL INFECTIOUS DISEASES, 2006, 42 (10) :1505-1506
[2]   THE AMERICAN-EUROPEAN CONSENSUS CONFERENCE ON ARDS - DEFINITIONS, MECHANISMS, RELEVANT OUTCOMES, AND CLINICAL-TRIAL COORDINATION [J].
BERNARD, GR ;
ARTIGAS, A ;
BRIGHAM, KL ;
CARLET, J ;
FALKE, K ;
HUDSON, L ;
LAMY, M ;
LEGALL, JR ;
MORRIS, A ;
SPRAGG, R ;
COCHIN, B ;
LANKEN, PN ;
LEEPER, KV ;
MARINI, J ;
MURRAY, JF ;
OPPENHEIMER, L ;
PESENTI, A ;
REID, L ;
RINALDO, J ;
VILLAR, J ;
VANASBECK, BS ;
DHAINAUT, JF ;
MANCEBO, J ;
MATTHAY, M ;
MEYRICK, B ;
PAYEN, D ;
PERRET, C ;
FOWLER, AA ;
SCHALLER, MD ;
HUDSON, LD ;
HYERS, T ;
KNAUS, W ;
MATTHAY, R ;
PINSKY, M ;
BONE, RC ;
BOSKEN, C ;
JOHANSON, WG ;
LEWANDOWSKI, K ;
REPINE, J ;
RODRIGUEZROISIN, R ;
ROUSSOS, C ;
ANTONELLI, MA ;
BELOUCIF, S ;
BIHARI, D ;
BURCHARDI, H ;
LEMAIRE, F ;
MONTRAVERS, P ;
PETTY, TL ;
ROBOTHAM, J ;
ZAPOL, W .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :818-824
[3]  
Chanta Chulapong, 2007, Journal of the Medical Association of Thailand, V90, P2366
[4]  
Charoensak Aphinya, 2006, Journal of the Medical Association of Thailand, V89, P600
[5]   Scrub typhus associated with multiorgan failure: a case report [J].
Chi, WC ;
Huang, JJ ;
Sung, JM ;
Lan, RR ;
Ko, WC ;
Chen, FF .
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 1997, 29 (06) :634-635
[6]   Scrub typhus: Radiological and clinical findings [J].
Choi, YH ;
Kim, SJ ;
Lee, JY ;
Pai, HJ ;
Lee, KY ;
Lee, YS .
CLINICAL RADIOLOGY, 2000, 55 (02) :140-144
[7]  
FAN MY, 1987, REV INFECT DIS, V9, P823
[8]   Detection of new genotypes of Orientia tsutsugamushi infecting humans in Thailand [J].
Fournier, P. -E. ;
Siritantikorn, S. ;
Rolain, J. -M. ;
Suputtamongkol, Y. ;
Hoontrakul, S. ;
Charoenwat, S. ;
Losuwanaluk, K. ;
Parola, P. ;
Raoult, D. .
CLINICAL MICROBIOLOGY AND INFECTION, 2008, 14 (02) :168-173
[9]  
GALE J L, 1974, American Journal of Tropical Medicine and Hygiene, V23, P679
[10]  
Ho M, 1998, J Microbiol Immunol Infect, V31, P73