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[Nasal bleeding as the first symptom of tsutsugamushi disease: a case report].
[scrub typhus]
A
case
of
76
-
years
-old
male
patient
with
nasal
bleeding
as
the
first
symptom
in
our
hospital
,
who
was
finally
diagnosed
as
tsutsugamushi
disease
.
This
old
man
was
bited
by
insect
in
farmland
2
days
before
the
symptom
occurred
.
PE
:
Left
thigh
and
right
buttock
have
eschar
,
with
splenomegaly
.
Routine
blood
test
:
WBC
(
decrease
)
3
.
9
x
10
(
9
)
/
L
,
RBC
(
decrease
)
3
.
86
x
10
(
9
)
/
L
,
PLT
(
decrease
)
41
x
10
(
9
)
/
L
,
HGB
(
decrease
)
117
g
/
L
;
Chest
CT
:
lung
interstitial
pneumonia
,
a
small
amount
of
bilateral
pleural
effusion
.
Oxk-
ag
1
:
320
.
The
patient
was
discharged
after
treatment
with
chloramphenicol
for
8
days
.
