Table 1.
Characteristics of the 11 Patients with R.japonica Infection on Admission, April 20, to November 20, 2021, Yichang, China
| Patient No. | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | |
| Age/Gender | 68 F | 48 M | 54 M | 58 M | 69 F | 55 F | 70 F | 56 F | 58 M | 74 M | 71 F |
| Evidence of insect bites (site) | Eschar (Right waist) | History of mountain tourism | Eschar (Right inguinal region) | Eschar (Back) | Not found | Redness and swelling (Right hand) | Eschar (Right shoulder) | Eschar (Left lower abdomen) | Eschar (Left knee) | Eschar (Right thigh) | Eschar (Right lower abdomen) |
| Duration of symptoms before admission | 10 days | 6 days | 7 days | 8 days | 7 days | 6 days | 7 days | 7 days | 2 days | 4 days | 5 days |
| Constitutional symptom | Fatigue | Fever | Fever, myalgia | Fever | Fever, | Fever, myalgia | Fever | Fever | Fever | Fever | Fever |
| Dermatological manifestations (site) | Erythema (all-over body) | Rash (all-over body) | Erythema (all-over body) | Erythema (all-over body) | Rash (abdomen) | Rash (abdomen and limbs) | Rash (all-over body) | Rash (all-over body) | Rash (all-over body) | Rash (all-over body) | Rash (all-over body) |
| Circulatory condition (within 24 hours) | Shock | Shock | Shock | Shock | Shock | Shock | Stable | Stable | Stable | Stable | Stable |
| Respiratory manifestations | Shortness of breath, extensive pulmonary effusion | Shortness of breath, extensive pulmonary effusion | Shortness of breath, partial consolidation in lungs | Dyspnea, pulmonary effusion and consolidation | Shortness of breath, local pulmonary effusion | Shortness of breath, local pulmonary effusion | None | Little pulmonary effusion | Little pulmonary effusion | Little pulmonary effusion | Little pulmonary effusion |
| Neurological manifestations (within 24 hours) | Confusion | Coma, limb twitching | Deep coma | Limb twitching, deep coma | Incidental delirium | Delirium | None | Headache | None | Acute cerebral infarction | Headache |
| Gastrointestinal symptoms | Nausea, vomiting | Nausea, vomiting | None | Nausea, vomiting | Abdominal pain, vomiting | Anorexia, diarrhea | Anorexia, vomiting | None | None | None | Nausea |
| Renal manifestations (within 48 hours) | Anuria | Oliguria | Urine protein | Oliguria | Urine protein | Low urine output | Urine protein | Urine protein | Urine protein | Urine protein | Urine protein |
| Lymphadenopathya | NA | None | NA | NA | Yes | Yes | NA | Yes | Yes | Yes | Yes |
| Underlying conditions | Hypertension | None | None | Coronary heart disease | Chronic bronchitis | None | Old pulmonary tuberculosis | None | None | Hypertension | None |
Note: Lymphadenopathya included enlarged cervical, axillary and inguinal lymph nodes.
Abbreviation: NA, not available.