Tsutsugamushifieber

Zuletzt aktualisiert: 2022-11-16

Autor(en): Anzengruber F., Navarini A.

ICD11: 1C30.3

Kedami-Fieber, japanisches Flussfieber, river fever, Scrub typhus.

Rickettsiose, welche durch R. tsutsugamushi ausgelöst wird.

Insbesondere in Asien, Pazifikinseln und Australien vorkommend.

  • Erreger
    • Rickettsia tsutsugamushi.
  • R. tsutsugamuschi wird durch Milben übertragen.

  • Lokalisationen
  • Axillen, Stamm, Leisen, Oberschenkel.
  • Die Primärläsion (Eschar) ist durch eine erythematöse Papulovesikel, welche ulzerieren kann gekennzeichnet.
  • Lokoregionäre Lymphknotenadenopathie.
  • Makulopapulöses Exanthem (ab dem 6.-10. Krankheitstag), Enantheme.

  • Reiseanamnese.
  • Klinik.
  • Läusebefall.
  • BB (Leukopenie, Eosinophilie, Thrombopenie, BSG ↑), Leber- und Nierenwerte (Transaminasen↑).
  • Elektrolyte.
  • Ab der 2. Krankheitswoche Weil-Felix-Reaktion (Agglutinationstest).
  • Ab der 3. Krankheitswoche Komplementbindungsreaktion.
  • Ab der 3. Krankheitswoche indirekter Immunfluoreszenztest.

  • Atypische Pneumonien.
  • Disseminierte intravaskuläre Koagulation.
  • Myokarditis.

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