51 某人主訴有頭痛、發燒、全身疲勞、寒顫、噁心、嘔吐、頸部僵硬、肌肉關節疼痛及淋巴腺腫脹等症狀,經問診後發現,該人於一星期前曾參加登山活動,露宿野地;回來後發現身上有蟲子叮咬所留下來的紅斑,後來紅斑以圈狀向外擴散,變成遊走性紅斑(erythema migrans),此患者有可能是被何致病原感染?
恙蟲病立克次氏菌(Orientia tsutsugamushi) 布魯氏菌(Brucella)
伯氏疏螺旋菌(Borrelia burgdorferi) 鉤端螺旋體(Leptospira interrogans)
C
Borrelia burgdorferi is a species of Gram negative bacteria of the spirochete class of the genus Borrelia.[1] B. burgdorferi is predominant in North America, but also exists in Europe, and is the agent of Lyme disease.
後來紅斑以圈狀向外擴散,變成遊走性紅斑(erythema migrans): DESCRIPTION OF THE CLASSIC TARGET LESION SEEN IN THE LYME DISEASE
Orientia tsutsugamushi is the causative organism of scrub typhus,
Symptoms include fever, headache, muscle pain, cough, and gastrointestinal symptoms. More virulent strains of O. tsutsugamushi can cause hemorrhagingand intravascular coagulation.
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