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14 February 2026 : Clinical Research  

Analysis of the Epidemiological Characteristics and Risk Factors for Severe Progression of Scrub Typhus in the Dali Region of China

Lihua Huang ABCE 1, Mingjing Cheng BC 2, Wei Gu EF 1*, Fuxing Li BCEF 3

DOI: 10.12659/MSM.951111

Med Sci Monit 2026; 32:e951111

Table 2 Comparison of clinical characteristics of patients with mild vs severe scrub typhus (ST).

VariablesMild ST group (n=370)Severe ST group (n=89)StatisticP value
Age (years)56.00 (47.00, 64.00)60.00 (48.00, 65.00)Z=−2.310.021
Sex, n (%)χ=2.780.095
 Male147 (39.73)44 (49.44)
 Female223 (60.27)45 (50.56)
Hospitalization time (days)6.00 (5.00, 8.00)7.00 (5.00, 10.00)Z=−2.140.032
Fever, n (%)χ=1.160.282
 No13 (3.51)6 (6.74)
 Yes357 (96.49)83 (93.26)
Chills, n (%)χ=0.001.000
 No363 (98.11)87 (97.75)
 Yes7 (1.89)2 (2.25)
Headache, n (%)χ=0.020.900
 No314 (84.86)76 (85.39)
 Yes56 (15.14)13 (14.61)
Abdominal pain, n (%)χ=1.060.302
 No355 (95.95)88 (98.88)
 Yes15 (4.05)1 (1.12)
Cough, n (%)χ=6.270.012
 No325 (87.84)69 (77.53)
 Yes45 (12.16)20 (22.47)
Expectoration, n (%)χ=5.750.016
 No342 (92.43)75 (84.27)
 Yes28 (7.57)14 (15.73)
Muscular stiffness, n (%)χ=0.010.919
 No338 (91.35)81 (91.01)
 Yes32 (8.65)8 (8.99)
Asthenia, n (%)χ=0.000.975
 No333 (90.00)80 (89.89)
 Yes37 (10.00)9 (10.11)
Poor appetite, n (%)χ=1.980.159
 No362 (97.84)84 (94.38)
 Yes8 (2.16)5 (5.62)
Nausea, n (%)χ=0.210.650
 No363 (98.11)86 (96.63)
 Yes7 (1.89)3 (3.37)
Vomiting, n (%)χ=0.130.723
 No361 (97.57)88 (98.88)
 Yes9 (2.43)1 (1.12)
Prognosis, n (%)χ=41.72<0.001
 Survival370 (100.00)78 (87.64)
 Death0 (0.00)11 (12.36)

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750