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[Clinical studies on dry filled doxycycline for intravenous administration; including one case of tsutsugamushi disease (author's transl)].

On a new dry filled doxycycline derivative for intravenous administration, some clinical studies were performed. The results obtained were summarized as follows; 1. Intravenous administration was effective in three cases of pulmonary abscess, in one case of bronchopneumonia, in one case of urinary tract infection complicated to nephrolithiasis, in one case of Mycoplasma pneumonia and in one case of tsutsugamushi disease. 2. In one case of FUO (fever of unknown origin), in one case of non-bacterial meningitis and in one case of ampicillin induced hemorrhagic colitis, from whom Klebsiella oxytoca was isolated in feces, satisfactory clinical course was observed with the drug administration. However, as it was impossible to give any comments for the causative agent of each disease, the effectiveness of the derivative was not necessarily clear. 3. Neither side effects nor abnormal laboratory finding caused by the derivative were noticed in any cases.

Adolescent↗

Pathology of Rickettsia tsutsugamushi infection in Bandicota savilei, a natural host in Thailand.

Following rodent surveys in a rice-growing area of central Thailand where we found Bandicota savilei, B. indica, and Rattus rattus infected with Rickettsia tsutsugamushi, we performed a study of pathogenesis of R. tsutsugamushi in laboratory-reared B. savilei. Eight animals were injected with saline and 19 animals were injected with 4.0 x 10(6) mouse 50% lethal dose units of a strain of R. tsutsugamushi isolated from a human in central Thailand. Animals were evaluated at intervals for IgG and IgM antibodies to R. tsutsugamushi by an indirect immunoperoxidase assay, the presence of the pathogen in liver and spleen by murine inoculation, and the pathology of representative tissues by gross and microscopic examination. The infected animals began to show internal evidence of mild illness 7-14 days after inoculation, and exhibited no changes in behavior. Total white blood cell counts decreased on day seven (including lymphocytes and polymorphonuclear leukocytes), followed by an almost equal increase on day 14. Gross pathology noted at necropsy was limited to slight liver and spleen enlargement accompanied by low numbers of abscesses and fibrinous tags present in the abdominal cavity. In addition to the gross morphologic changes, histopathologic lesions noted were all mild, consisting of vasculitis of the lung, activation of the mononuclear phagocyte system, abdominal mesothelial cell hyperplasia, and peritonitis. Rickettsiae were isolated from liver and spleen on days 0, 7, and 14, but not thereafter. Specific antibody response was first observed on day 14, peaked on day 21, and it decreased to levels observed in uninfected animals between days 120 and 180.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

[Leptotrombidium (L.) scutellare as the transmitting vector of tsutsugamushi disease of autumn-winter type in Jiangsu Province].

In 1986, epidemic of tsutsugamushi disease of autumn-winter type was found in Jiangsu province. To clarify the vector of this disease, we carried out a series of studies in 1986-1992. Leptotrombidium (L.) scutellare was found to be a dominant species of chigger mite on rats in the endemic areas and its seasonal distribution was correlated with the incidence of tsutsugamushi disease in inhabitants. This mite could naturally be infected by Rickettsia tsutsugamushi, and R. tsutsugamushi could be transmitted via biting and transovarial transmission. Specific antibodies could be detected in the sera of mice bitten by the mites or inoculated with the suspension of mites. Serological typing of the sera of mice was of Gilliam type. The above results demonstrate that L. (L.) scutellare can serve as transmitting vector of tsutsugamushi disease of autumn-winter type.

Animals↗

[Studies on natural foci of tsutsugamushi disease of the autumn-winter type in Jiangsu].

Before 1986, tsutsugamushi disease was known only prevalent in south to Zhejiang Province in our country, belonged to the summer type and Leptotrombidium (L.) deliense was regarded as the main vector. In October 1986, the authors found this disease in Nanjing and carried out a series of studies in 1986-1992. The results were as follows: Tsutsugamushi disease was epidemic in Nanjing and north of Jiangsu (including: Dongtai, Haian, Rudong, Jinhu, Hanjiang, Jiangdu); belonged to the autumn-winter type; the main reservoir hosts were Apodemus agrarius, Rattus confucianus, R. norvegicus and Crocidura lasiura; the transmitting vector was L. (L.) scutellare; the pathogen of tsutsugamushi disease of the autumn-winter type-Rickettsia tsutsugamushi belonged to low-virulent strain, and could not easily be detected; after the inoculated mice were treated with diluted cyclophosphamide solution, 14 strains of R. tsutsugamushi have been isolated from rats, mites and patients; serological typing of their sera showed that they belonged to the Gilliam type; natural foci in Jiangsu could be divided into two types--flat land and hilly land.

Animals↗