Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious and hemorrhagic disease recently described in China and western Japan. A 71-year-old healthy Japanese woman noticed a tick biting her after harvesting in an orchard and removed it herself. She developed diarrhea, anorexia,...

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Main Authors: Yuko Ohagi, Shinobu Tamura, Chiaki Nakamoto, Hiromichi Nakamoto, Masayuki Saijo, Masayuki Shimojima, Yoshio Nakano, Tokuzo Fujimoto
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2014/918135
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author Yuko Ohagi
Shinobu Tamura
Chiaki Nakamoto
Hiromichi Nakamoto
Masayuki Saijo
Masayuki Shimojima
Yoshio Nakano
Tokuzo Fujimoto
author_facet Yuko Ohagi
Shinobu Tamura
Chiaki Nakamoto
Hiromichi Nakamoto
Masayuki Saijo
Masayuki Shimojima
Yoshio Nakano
Tokuzo Fujimoto
author_sort Yuko Ohagi
collection DOAJ
description Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious and hemorrhagic disease recently described in China and western Japan. A 71-year-old healthy Japanese woman noticed a tick biting her after harvesting in an orchard and removed it herself. She developed diarrhea, anorexia, and chills eight days later. Because these symptoms continued, she visited a primary care physician 6 days after the onset. Laboratory data revealed thrombocytopenia, leukocytopenia, and elevated liver enzymes. She was then referred to our hospital. Although not completely fulfilling the diagnostic criteria used in a retrospective study in Japan, SFTS was suspected, and we detected SFTS virus in the patient’s blood using RT-PCR. However, she recovered without intensive treatment and severe complications 13 days after the onset. In this report, we present a mild clinical course of SFTS virus infection in Japan in detail.
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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-2f6dc0fba3a046c2a298a9ea7cf724be2025-02-03T01:22:23ZengWileyCase Reports in Infectious Diseases2090-66252090-66332014-01-01201410.1155/2014/918135918135Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese PatientYuko Ohagi0Shinobu Tamura1Chiaki Nakamoto2Hiromichi Nakamoto3Masayuki Saijo4Masayuki Shimojima5Yoshio Nakano6Tokuzo Fujimoto7Department of Internal Medicine, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanDepartment of Hematology/Oncology, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanDepartment of Nursing, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanDepartment of Central Clinical Laboratory, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanSpecial Pathogens Laboratory, Department of Virology 1, National Institute of Infectious Diseases, 4-7-1 Gakuen, Musashimurayama, Tokyo 208-0011, JapanSpecial Pathogens Laboratory, Department of Virology 1, National Institute of Infectious Diseases, 4-7-1 Gakuen, Musashimurayama, Tokyo 208-0011, JapanDepartment of Internal Medicine, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanDepartment of Internal Medicine, Kinan Hospital, 46-70 Shinjo, Tanabe-shi, Wakayama 646-8588, JapanSevere fever with thrombocytopenia syndrome (SFTS) is an emerging infectious and hemorrhagic disease recently described in China and western Japan. A 71-year-old healthy Japanese woman noticed a tick biting her after harvesting in an orchard and removed it herself. She developed diarrhea, anorexia, and chills eight days later. Because these symptoms continued, she visited a primary care physician 6 days after the onset. Laboratory data revealed thrombocytopenia, leukocytopenia, and elevated liver enzymes. She was then referred to our hospital. Although not completely fulfilling the diagnostic criteria used in a retrospective study in Japan, SFTS was suspected, and we detected SFTS virus in the patient’s blood using RT-PCR. However, she recovered without intensive treatment and severe complications 13 days after the onset. In this report, we present a mild clinical course of SFTS virus infection in Japan in detail.http://dx.doi.org/10.1155/2014/918135
spellingShingle Yuko Ohagi
Shinobu Tamura
Chiaki Nakamoto
Hiromichi Nakamoto
Masayuki Saijo
Masayuki Shimojima
Yoshio Nakano
Tokuzo Fujimoto
Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
Case Reports in Infectious Diseases
title Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
title_full Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
title_fullStr Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
title_full_unstemmed Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
title_short Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient
title_sort mild clinical course of severe fever with thrombocytopenia syndrome virus infection in an elderly japanese patient
url http://dx.doi.org/10.1155/2014/918135
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