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文献:

Theclinicalcharacteristicsofpleuraleffusioninscrubtyphus

HyungHoKim1,

Jong-HoonChung1,

Dong-MinKim1,

NaRaYun1,

JunLee1,

YongEunKwon1,

SungHoYoon1,

SeungIlLee1and

MiAhHan2

BMCInfectiousDiseases:

DOI:10./s---0

TheAuthor(s).

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AbstractBackground

Theaimofthisstudyistoidentifythefactorsassociatedwiththeoccurrenceofpleuraleffusionandtoinvestigatethecharacteristicsofpleuraleffusioninscrubtyphus.

Methods

WeconductedaretrospectiveanalysisofthemedicalrecordsofscrubtyphuspatientsbetweenJanuaryandDecemberatChosunUniversityHospitalinSouthKorea.Atotalofscrubtyphuspatientsweredividedintothefollowingtwogroups:without(n?=?)orwithpleuraleffusion(n?=?93).Thedataof18scrubtyphuspatientswhounderwentthoracentesisweresummarized.

Results

Multivariateanalysisdemonstratedthatthefollowingfactorswereassociatedwiththeoccurrenceofpleuraleffusioninscrubtyphus:olderage(oddsratio[OR]?=?1.,P?=?0.,confidenceinterval[CI]?=?1.–1.);malegender(OR?=?1.,P?=?0.,CI?=?1.–3.);presenceofheartfailure(OR?=?2.,P?=?0.,CI?=?1.–6.);andloweralbumin(OR?=?0.,P?≤?0.,CI?=?0.–0.).Mostpleuraleffusionpresentationswerebilateral(88%)andsmall(91%).Theeffusionhadtransudatecharacteristicsin7patientsandexudatecharacteristicsin11patientsbasedonLight’scriteria.

Conclusions

Thisstudyprovidedthefirstdataregardingthefollowingfourindependentriskfactorsassociatedwiththeoccurrenceofpleuraleffusion:olderage;malegender;thepresenceofheartfailure;andloweralbumin.Thepleuraleffusionpresentationsinscrubtyphuspatientswerebilateralandsmallinmostcases,withtransudateand/orexudatecharacteristics.

Keywords

ScrubtyphusPleuraleffusionKorea

KeypointsThisstudyprovidedthefirstdataregardingthefollowingindependentriskfactorsassociatedwiththeoccurrenceofpleuraleffusion:olderage;malegender;thepresenceofheartfailure;andloweralbumin.

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