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KMID : 0386119930290020205
Journal of the Korean Radiological Society
1993 Volume.29 No. 2 p.205 ~ p.210
Chest Radiographic Findings of Scrub Typhus: An Analysis of 160 Cases Occurred in Ulsan Area
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Abstract
Scrub typhus (Tsutsugamushi disease)is an acute febrile systemic illness caused by Rickettsia tsutsugamushi that is transmitted to humans by the bite of larval-stage trombiculid mites (chiggers). The authors analyzed chest radiographic findings
of
scrub
typhus in 160 patients in Ulsan area. One hundred and eight (67.5%) of160 patients showed abnormal findings which included lung lesions in 108 patients (67.5%), cardiomegaly in 37 patients (23.1%), lymphadenopathy in 25 patients (15.6%) and
pleural
effusion in 11 patients (6.9%). Among the lung lesions, interstitial patterns were seen in 107 patients (66.9%), mostly fine or medium reticulonodular, and air-space patterns in 14 patients(8.8%) and combined interstitial and air-space patterns
in
13
patients (8.1%). Sixty-four patients(40%) had combined chest radiographic findings.
The typical chest radiographic findings of scrub typhus would be helpful in evaluation of the causes of acute febrile illness that occur during late fall in the endemic area.
KEYWORD
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