Two cases of rickettsiosis. The clinical characteristics of Japanese spotted fever and tsutsugamushi disease.

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  • Yamane Takamichi
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Arai Takashi
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Yamami Akira
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Morio Tomohiro
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Takao Katsuhiko
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Morio Kazuaki
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Kuwata Shoji
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Matsuzaki Kenzo
    The Third Department of Internal Medicine Teikyo University School of Medicine
  • Nakamura Takashi
    The Third Department of Internal Medicine Teikyo University School of Medicine

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Other Title
  • リケッチア感染症の２症例　　日本紅斑熱とツツガムシ病の臨床諸相について
  • コンゲツ ノ ショウレイ リケッチア カンセンショウ ノ 2 ショウレイ : ニホンコウ ハン ネツ ト ツツガムシビョウ ノ リンショウ ショソウ ニ ツイテ
  • The clinical characteristics of Japanese spotted fever and tsutsugamushi disease
  • 日本紅斑熱とツツガムシ病の臨床諸相について

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Abstract

2000年4～5月に房総半島で罹患したリケッチア感染症の2例を報告する.症例1は26歳男性.発熱,発疹を主訴に来院.右腋窩部付近に小さな痂皮を伴う皮疹を認めた.症例2は55歳男性.発熱,発疹を主訴に来院.右肘部付近に黒褐色の痂皮を伴う硬結様皮疹を認めた.両症例ともミノサイクリン投与にて治癒したが血清学診断より症例1は日本紅斑熱,症例2はツツガムシ病と診断.両疾患は類似した臨床所見を呈し鑑別には注意を要する.

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