Journal List > J Bacteriol Virol > v.45(2) > 1034169

Heo, Yoo, Lee, and Ko: The First Case of Non-retrospective Clinical Identification of Severe Fever with Thrombocytopenia Syndrome Patient in 2013 in South Korea

Abstract

In this study, we report the first clinically identified case of severe fever with thrombocytopenia syndrome (SFTS) in a 73-year old man from Jeju Island, South Korea. Although his initial manifestation suggested tsutsugamushi disease with cutaneous lesion, later the patient presented with symptoms characteristic of SFTS. Despite intensive medical therapies upon the clinical diagnosis of SFTS, patient's condition rapidly deteriorated. SFTS is a fatal disease that requires early diagnosis and appropriate supportive treatment.

REFERENCES

1). Li S, Xue C, Fu Y, Wang J, Ding X, Liu R, et al. Sporadic case infected by severe fever with thrombocytopenia syndrome bunyavirus in a non-epidemic region of China. Biosci Trends. 2011; 5:273–6.
crossref
2). Lee KH, Medlock JM, Heo ST. Severe Fever with Thrombocytopenia Syndrome virus, Crimean-Congo Haemorrhagic Fever virus, and migratory birds. J Bacteriol Virol. 2013; 43:235–43.
crossref
3). Yu XJ, Liang MF, Zhang SY, Liu Y, Li JD, Sun YL, et al. Fever with thrombocytopenia associated with a novel bunyavirus in China. N Engl J Med. 2011; 364:1523–32.
4). Gai ZT, Zhang Y, Liang MF, Jin C, Zhang S, Zhu CB, et al. Clinical progress and risk factors for death in severe fever with thrombocytopenia syndrome patients. J Infect Dis. 2012; 206:1095–102.
crossref
5). Zhao L, Zhai S, Wen H, Cui F, Chi Y, Wang L, et al. Severe fever with thrombocytopenia syndrome virus, Shandong Province, China. Emerg Infect Dis. 2012; 18:963–5.
crossref
6). Bao CJ, Guo XL, Qi X, Hu JL, Zhou MH, Varma JK, et al. A family cluster of infections by a newly recognized bunyavirus in eastern China, 2007: further evidence of person-to-person transmission. Clin Infect Dis. 2011; 53:1208–14.
crossref
7). Kim KH, Yi J, Kim G, Choi SJ, Jun KI, Kim NH, et al. Severe Fever with Thrombocytopenia Syndrome, South Korea, 2012. Emerg Infect Dis. 2013; 19:1892–4.
crossref
8). Zhang YZ, He YW, Dai YA, Xiong Y, Zheng H, Zhou DJ, et al. Hemorrhagic fever caused by a novel Bunyavirus in China: pathogenesis and correlates of fatal outcome. Clin Infect Dis. 2012; 54:527–33.
9). Ha NY, Choi MS, Choi NH. Molecular characterization of sca genes found in Orientia tsutsugamushi Genome. J Bacteriol Virol. 2013; 43:155–8.
10). Tang X, Wu W, Wang H, Du Y, Liu L, Kang K, et al. Human-to-human transmission of severe fever with thrombocytopenia syndrome bunyavirus through contact with infectious blood. J Infect Dis. 2013; 207:736–9.
crossref
11). Lam TT, Liu W, Bowden TA, Cui N, Zhuang L, Liu K, et al. Evolutionary and molecular analysis of the emergent severe fever with thrombocytopenia syndrome virus. Epidemics. 2013; 5:1–10.
crossref
12). Sun Y, Liang M, Qu J, Jin C, Zhang Q, Li J, et al. Early diagnosis of novel SFTS bunyavirus infection by quantitative real-time RT-PCR assay. J Clin Virol. 2012; 53:48–53.
crossref
13). Erduran E, Bahadir A, Palanci N, Gedik Y. The treatment of crimean-congo hemorrhagic fever with high-dose methylprednisolone, intravenous immunoglobulin, and fresh frozen plasma. J Pediatr Hematol Oncol. 2013; 35:e19–24.
crossref
14). Fisher-Hoch SP, Khan JA, Rehman S, Mirza S, Khurshid M, McCormick JB. Crimean Congo-haemorrhagic fever treated with oral ribavirin. Lancet. 1995; 346:472–5.
15). Oh WS, Heo ST, Kim SH, Choi WJ, Han MG, Kim JY. Plasma exchange and ribavirin for rapidly progressive severe fever with thrombocytopenia syndrome. Int J Infect Dis. 2014; 18:84–6.
crossref
16). Ding F, Zhang W, Wang L, Hu W, Soares Magalhaes RJ, Sun H, et al. Epidemiologic features of severe fever with thrombocytopenia syndrome in China, 2011–2012. Clin Infect Dis. 2013; 56:1682–3.
crossref

Figure 1.
Amplification of S and L segment of SFTSV. (A) S segment of SFTSV was amplified from the SFTS patient's serum by real-time RT-PCR. 1.2% agarose gel electrophoresis demonstrates the 110-bp corresponding to the S segment (B) and the 100-bp corresponding to the L segment (C) of SFTSV.
jbv-45-155f1.tif
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