医
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斑疹、斑丘疹、骨痛、肌痛、腹痛、眩晕
Trench fever (five-day fever, shin-bone fever) is an acute louse-borne infection caused by Bartonella (Rochalimaea) quintana. Features: relapsing fever with severe headache/joint/bone/muscle pain.
Macule; papulomacular rash; bone pain; myalgia; abdominal pain; vertigo
(1) Etiology: B. quintana grows extracellularly on cell-free medium and in louse gut; heat-resistant (60°C humid/30 min); remains infectious in dried louse feces for months. (2) Pathogenesis: nonspecific peripheral vasculitis with perivascular lymphocytes but intact intima and no thrombosis.
Drug therapy, symptomatic, supportive therapy
Universal susceptibility; partial immunity; relapse/reinfection possible. More common in winter/spring. Delousing; personal hygiene; frequent clothing/bed changes; moral hygiene for pubic lice.
It is recommended to visit the Infectious Diseases department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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