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Tsutsugamushi병 42예의 임상적 고찰(1987~1990)
박명재 ( Park Myeong Jae ),고경식 ( Go Gyeong Sig ),안규정 ( An Gyu Jeong ),정호연 ( Jeong Ho Yeon ),이태원 ( Lee Tae Won ),서환조 ( Seo Hwan Jo ) 대한내과학회 1992 대한내과학회지 Vol.42 No.6
Background To define the clinical characteristics of Tsutsugamushi disease. Methods: We analyzed 42 cases of Tsutsugamushi disease admitted to Kyung Hee University Hospital between 1987 and 1990. Tsutsugamushi disease was diagnosed by indirect immunofluorescent antibody test. Results: 1) Among a total of 42 cases, the number of yearly incidence from the year of 1987 to 1990 were 12, 8, 13, 9, respectively. 2) In terms of the monthly incidence rate during 4 years, it demonstrated the high incidence especially between October and November (95.2%). 3) The most of patients (69%) resided in rural area. The residential and traveling areas were distributed in nationwide. 4) Among them, 30 cases were female and 12 cases in male. The ratio of male and female was 12.5, indicating that the rate of incidence was predominantly high in female. 5) The age distribution ranged from 8 to 79 year old. The high incidence of age was between the 40`s and 70`s (83.4%). The 60`s was most prevalent in age (42.9%). 6) The most frequent symptom was fever and chills. (97.6%) 7) Rash and eschar were observed in 54.8% (23 of 42), 52.4% (22 of 42) respectively. 8) Hepatosplenomegaly and lymphadenopathy were also observed in 45.2% (19 of 421, 11.9% (5 of 42) respectively. 9) The laboratory findings were observed the elevation of SGOT in 78.6% (33 of 42), SGPT in 69.0% (29 of 42). alkaline phosphatase in 47.6% (20 of 42) and LDH in 26.2% (11 of 42). Albuminuria and hypoalbuminemia were also observed in 69.0% (29 of 42), 47.6% (20 of 42) respectively. 10) The therapheutic efficacy of doxycycline and chloramphenicol was excellent. 11) The mean duration of fever following treatment was 3.6 days and 1 case of mortality was founded. Conclueion: Tsutsugamushi disease is one of the important acute febrile illnesses with the high incidence between October and November in Korea.