title: [Clinical analysis of 50 cases of pulmonary complications associated with Tsutsugamushi disease].
abstract: OBJECTIVE
  To study the clinical features of pulmonary complications associated with tsutsugamushi disease.
  
  
  METHODS
  Two hundred and thirty two patients with tsutsugamushi disease were retrospectively analyzed by chest X-ray, ultrasonography and lung function test. The differential diagnosis of tsutsugamushi disease associated lung complications from mycoplasma pneumonia, streptococcal pneumonia and tuberculosis was discussed.
  
  
  RESULTS
  Pulmonary complications were present in 21.6% (50/232) of the patients with tsutsugamushi disease. Of them 42% were initially misdiagnosed as other pulmonary diseases. The characteristic radiographic manifestation was exudative lesions. The lesions were bilateral in 36 cases (72%), and unilateral in 14 cases (28%). Pleural effusion was present in 16 cases. Chloromycetin was effective in all the cases.
  
  
  CONCLUSIONS
  Pulmonary complications were common in tsutsugamushi disease. The prognosis was good if diagnosed and treated properly at an early stage.
authors.affiliation: Department of Respiratory Diseases, Lishui Chinese Medicine Hospital, Lishui 323000, China.
authors.forename: Zhongda
authors.initials: Z
authors.lastname: Liu
authors.forename: Gensheng
authors.initials: G
authors.lastname: Chen
authors.forename: Haiquan
authors.initials: H
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis