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Four Cases of Severe Fever with Thrombocytopenia Syndrome Occurring in Jeju
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Çã»óÅÃ(Heo Sang-Taek) - Jeju National University School of Medicine Department of Internal Medicine
õ¹Î¼®(Cheon Min-seok) - Jeju National University School of Medicine Department of Dermatology
±èÀç¿Õ(Kim Jae-Wang) - Jeju National University School of Medicine Department of Dermatology
Abstract
Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by a novel SFTS bunyavirus (SFTSV), a member of the genus Phlebovirus in the family Bunyaviridae. SFTSV is believed to be transmitted by Haemaphysalis longicornis. Common symptoms of SFTS include high fever, vomiting, diarrhea, thrombocytopenia, leukocytopenia, and multi-organ failure with an average case-fatality rate of 12¡30%. In 2009, SFTS was firstly reported in China. In 2013, 27 cases of SFTS were documented in Korea, and 6 cases were confirmed on Jeju Island. Although the pathogenesis and transmission mode of SFTS remain unclear, SFTS is now considered endemic in East Asia. Accordingly, SFTS needs to be differentiated from scrub typhus, leptospirosis, and hemorrhagic fever with renal syndrome. We here report 4 cases of SFTS preceded by a tick bite, which were in need of a differential diagnosis of scrub typhus.
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Severe Fever with Thrombocytopenia Syndrome
KMID :
0363220140520030173
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