The Journal of the Korean Society for Microbiology (대한미생물학회지)

The Korea Society for Microbiology (대한미생물학회)
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Tsutsugamushi Disease in Chinhae Area Confirmed by Serology

쭈쭈가무시 병으로 규명된 진해지방에서 발생하던 발진성 질환

  • Yi, Kang-Su (Yi's Clinic of Internal Medicine) ;
  • Chong, Yun-Sop (Departments of Clinical Pathology, Yonsei University College of Medicine) ;
  • Kwon, Oh-Hun (Departments of Clinical Pathology, Yonsei University College of Medicine) ;
  • Lee, Samuel Y. (Departments of Clinical Pathology, Yonsei University College of Medicine) ;
  • Kim, Kir-Young (Departments of Pediatrics, Yonsei University College of Medicine) ;
  • Ujiiye, Atsuo (Gunma Institute of Public Health)
  • 이강수 (진해 이내과의원) ;
  • 정윤섭 (연세대학교 의과대학 임상병리과) ;
  • 권오현 (연세대학교 의과대학 임상병리과) ;
  • 이삼열 (연세대학교 의과대학 임상병리과) ;
  • 김길영 (연세대학교 의과대학 소아과) ;
  • 우지이에아쓰오 (일본 군마현 환경공해연구소)
  • Published : 1986.03.31
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Abstract

In Korea 8 tsutsugamushi disease patients were reported among the United Nations Forces personnel during 1951-54, but the disease was not known among the native Koreans. In Chinhae, patients with fever, chills, headache and rash were observed in every late autumn to early winter for many years, but etiologic diagnosis was not made. In 1985, there were 34 such patients. The authors were able to determine the disease as tsutsugamushi disease by observing the pathognomic eschar in 4 patients and demonstrating antibodies against Proteus OXK and Rickettsia tsutsugamushi antigens in 21 patients. The patients were mostly females of over 30 years of age. It was considered that most of them contracted the infection while doing farm works or picnic at the outskirts of Chinhae city and the adjacent areas. They were treated with chloramphenicol and no fatalities were observed.

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