title: [Clinical analysis of tsutsugamushi disease misdiagnosed as tonsillitis].
abstract: Tsutsugamushi disease is an acute infectious rickettsial disease caused by the intracellular parasite Orientia tsutsugamushi. Due to its variety of clinical signs, this disease is often misdiagnosed. This article examines a total of 4 patients who visited our clinics with fever and sore throat. 3 of them had body temperature of 39.5 Celsius degrees when admitted. The characteristic black eschar occurred on 4 of them. Lymphadenopathy occurred on 2 of them. Cough occurred on 1 of them. Lab tests showed that 3 of them had Leukocytosis, 1 of them had increased bronchovascular markings, and 3 of them had Weil-Felix test positive. After admission, all patients, who were confirmed of diagnosis of tsutsugamushi disease instead of tonsillitis, received the comprehensive treatment and cured afterwards.
authors: Ning
authors: N
authors: Kang
authors: Ning
authors: N
authors: Lan
authors: Hui
authors: H
authors: Ye
mesh_terms: D003951:Diagnostic Errors; D006801:Humans; D012285:Orientia tsutsugamushi; D010612:Pharyngitis / Q000209:etiology; D012612:Scrub Typhus / Q000150:complications / Q000175:diagnosis*; D014069:Tonsillitis / Q000175:diagnosis*