The patient had a fever for 7 days, enlarged lymph nodes in the neck and axillary, skin scabs visible in the right armpit, and red papules all over the body, and the culprit was a scrub! Ordinary people do not have much concept of bugs, but don't underestimate these little bugs, the appearance is not amazing, but in fact, the venom is added. Recently, the Department of General Medicine of Nanjing Jiangning Hospital successfully treated a patient with scrub worm disease.
Ren Tiancheng, director of the Department of General Medicine of the hospital, introduced that in the 1990s, scrub worm disease was a sporadic disease in Jiangning area, and with the advancement of urbanization and the improvement of the living environment, the disease gradually disappeared. Scrub worm disease is an acute infectious disease caused by Rickettsia scrub, various rodents are the main source of infection of the disease, chigger mites are an important vector of disease, people have a general susceptibility to scrub worm disease, patients often have fever symptoms, accompanied by typical rash and eschar formation, June-August, October-November for the high incidence of the disease.
"On the first day of admission, I found a significant eschar in the right armpit of the patient, enlarged lymph nodes in the neck and underarms and accompanied by a rash throughout the body. My first instinct told me that it was probably scrub worm disease! "The director who has been practicing medicine for more than 20 years has a high degree of suspicion that it is scrub worm disease with a sense of professionalism for many years. He told reporters that the scrub is very small, the adult body length does not exceed 2 mm, like a humid and dark environment, if crawling to the human body, often bite the perineum, armpits, groin and other hidden parts of the human body, not easy to be found.
Serum-specific antibody testing confirmed director Ren's judgment that the patient was diagnosed with scrub worm disease. With drug therapy, the patient's symptoms gradually remissioned and he was discharged from the hospital on day 11. On December 18, the patient came from Xiao Danyang to thank the general practitioners for their life-saving grace.
Ren Tiancheng, director of the Department of General Medicine of Nanjing Jiangning Hospital, reminded the public that scrub worm disease is a rare disease that causes liver function, respiratory system, heart function and nervous system damage, and there is a possibility of multi-organ insufficiency or even failure. Prevention and control should be carried out in terms of controlling the source of infection (killing rats), cutting off the transmission route (improving environmental hygiene, removing weeds, spraying insect repellents, etc.), and protecting the susceptible (paying attention to personal protection). Those who have similar symptoms should seek medical attention in a timely manner.