<h1>Case Notes</h1>
A ten-year-old boy was hospitalized for several days with fever with lymph nodes and hepatosplenomegaly. He went to a summer camp in Hainan for a week two weeks before the fever, and checked for a variety of tropical diseases that were negative, and his parents were also anxious. By chance, the doctor found that the child had a scorched scab on the chest and quickly did a test for scrub worm disease, which turned positive. The child gets better quickly after treatment with appropriate antibiotics.
<h1>What is scrub worm disease? </h1>
Scrub worm disease is an infection caused by the oriental body of scrub worm disease, a special bacterium, and the chigger mite larvae are the vector of transmission. Most of the infected have a history of field work or residence, and the incubation period is 5-20 days. The disease was relatively popular on the Asian continent, and it once caused napoleon's army to die in large numbers when it conquered Russia.
<h1>Symptoms of scrub worm disease</h1>
The first symptom is the appearance of a bulge at the bite, which then turns into a scab that wants to burn. It is mainly distributed in the groin, neck, armpits and genitals.
High fever, enlargement of lymph nodes around the bite.
Headache, chills, muscle pain and cough.
Severe infections may occur in the lungs.
Enlarged liver and failure.
<h1>Diagnosis of scrub worm disease</h1>
Directly check the pathogen of the oriental body of scrub worm disease or its antibodies.
<h1>treat</h1>
Antibiotic therapy with doxycycline or azithromycin.
<h1>prophylaxis</h1>
Stay away from rodent colonies,
Pay attention to wearing long clothes and trousers when camping in the wilderness,
Watch out for spraying anti-insect bite medication.