Where’s the Eschar?: Non-Eschar Cases and Eschar Distribution between the Serotypes of Karp, Irie/Kawasaki and Hirano/Kuroki Causing Scrub Typhus in Fukushima, Japan
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منابع مشابه
Where’s the Eschar?: Non-Eschar Cases and Eschar Distribution between the Serotypes of Karp, Irie/Kawasaki and Hirano/Kuroki Causing Scrub Typhus in Fukushima, Japan
Background. Rickettsiosis has long been considered as a benign affection. Pathologic mechanisms and prognosis factors of severe forms are incompletely decrypted. In this perspective, we aimed to determine the predictive factors of a severe rickettsiosis (SR). Methods. We conducted a retrospective and prognostic study including all patients with documented rickettsiosis hospitalized between 1993...
متن کاملEvolution of Eschar in Scrub Typhus
A 60-year-old man presented with fever that developed 1 day before admission. The patient had recently returned from collecting acorns in the mountains 8 days before admission. Physical examination revealed a 0.5 × 0.5-cm eschar on the right chest wall. Indirect immunofluorescent antibody testing revealed an Orientia tsutsugamushi antibody titer of 1:2,560. The appearance of eschar was evaluate...
متن کاملEschar: a cutaneous clue to scrub typhus.
60-year-oldmanpresentedwith a seven-day history of fever, eadache, fatigue, and decreased urine output. On examinaion, he was febrile (38 ◦C), and had tachycardia. A blackish kin lesion was noted on the right side of his neck (Fig. 1). scharwas not preceded by any pain or itching. His hemogram evealed a hemoglobin count of 11.8 gm/dL, total leukocyte ount of 6300/mm3, and a platelet count of 80...
متن کاملEschar: a clue to scrub typhus.
E1152 CMAJ, October 18, 2011, 183(15) © 2011 Canadian Medical Association or its licensors A33-year-old man from a rural Taiwanese village was admitted with a three-day history of fever, headache, muscle pain and skin rashes. On examination, he was febrile (39.2°C) with generalized macular patches and an eschar measuring 15 mm on the left lower quadrant of his abdomen (Figure 1). His leukocyte ...
متن کاملEschar is associated with poor prognosis in scrub typhus
Scrub typhus occurs in almost all parts of India and is endemic1. Many researchers have reported the profile of scrub typhus from various parts of India with diagnosis based on IgM ELISA2-4. Eschar is pathognomonic for rickettsiosis including scrub typhus, but its presence has not been reported as a marker of disease severity. Kim et al5 found absence of eschar to have prognostic significance i...
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ژورنال
عنوان ژورنال: Open Forum Infectious Diseases
سال: 2017
ISSN: 2328-8957
DOI: 10.1093/ofid/ofx163.168