Scrub Typhus 恙蟲病(英文). 2021/3/24. The Chinese idiom “Hope that you are free from scrub typhus” (別來無恙) is a greeting for health. As early as the Jin ...衛教單張HealthEducation首頁衛教單張ScrubTyphus恙蟲病(英文)衛教資訊衛教單張衛教影片衛教海報衛教諮詢正確用藥教育中心衛教講座衛教講座報名爸媽教室哺乳聚會孕產課程健康城市中醫講座正確用藥ScrubTyphus恙蟲病(英文)文章分享首頁分享至FaceBook分享至LineQrcode列印A-A+ScrubTyphus恙蟲病(英文)2021/3/24TheChineseidiom“Hopethatyouarefreefromscrubtyphus”(別來無恙)isagreetingforhealth.AsearlyastheJindynasty,GeHonghadmentionedthattheillnesswasprevalentinsouthernChina,whichwascalledthesandlousefever.Scrubtyphus,alsoknownasbushtyphus,isafebrileorexanthematousillnesstransmittedby"tsutsugamushi"andcarriesOrientiatsutsugamushi.Anacutefebrileailmentinwhichthehostisinfectedwithrickettsiaafterbeingbittenbythetsutsugamushithroughitssaliva.Ratsarethemostcommonhostsofscrubtyphus.EtiologySpecifically,scrubtyphusistransmittedmainlythroughcertainspeciesoftsutsugamushi,especiallyLeptotrombidiumdeliense,orsandflea,whichlivesmainlyindenseshrubvegetation.OtherrelatedvarietiesincludeL.akamushi,L.arenicola,L.fletcheri,L.pallidum,andL.pavlovsky.Oncebitten,thetsutsugamushileavesadistinctiveblackescharontheskin,usefulfordoctorstodiagnose.ClinicalSymptomsSudden,persistenthighfever(39°C),headache,backpain,chills,nightsweats,enlargedlymphnodes,redmaculopapularrashesontheskinoneweeklater,andsometimeswithpneumonia.Apainlessescharappearsonthebiteofthetsutsugamushi.Theincubationperiodisusually9-12days,andabout50-80%ofpatientscanfindablack,ulcerativeescharatthebiteofthetsutsugamushi,mostlypainless,aswellaslocal"lymphglandinflammationandenlargement."Redmaculopapularrashesappearonthetrunk4-5daysafterfever,andthenspreadtothelimbsandface.Thesymptomsubsides9or10dayslater;headacheormusclepain,excessivesweating,conjunctivalcongestion,coughandgastrointestinalproblems.ComplicationsWithoutpropertreatment,severebleedingorintravascularcoagulationmayleadtodecreasedbloodpressure,unconsciousness,pneumonia,encephalitis,myocarditisandothercomplications,orshock,withamortalityrateof1-60%.Pre