A case of Japanese spotted fever complicated with central nervous system involvement and multiple organ failure
スポンサーリンク
概要
- 論文の詳細を見る
Japanese spotted fever (JSF), first reported in 1984, is a rickettsial disease characterized by high fever, rash, and eschar formation. A 61-year-old man was admitted to a local hospital in Nagasaki City, Japan, after several days of high fever and generalized skin erythema. His condition deteriorated and laboratory findings indicated disseminated intravascular coagulation (DIC). The patient was transferred to our hospital with mental disturbance and status epilepticus. Treatment included minocycline, and new quinolone. Definitive diagnosis was made with a serological test showing increased antibody levels against Rickettsia japonica. Rickettsial infections are rare, but should be seriously considered for the differential diagnosis of aseptic meningitis and encephalitis, as they show no response to conventional antibiotic treatment.
著者
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Tsujino Akira
The First Department Of Internal Medicine Nagasaki University School Of Medicine
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YOSHIMURA Toshiro
The First Department of Internal Medicine, Nagasaki University School of Medicine
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Kawakami Atsushi
The First Department Of Internal Medicine Nagasaki University School Of Medicine
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Nakajima Hideki
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Nakata Ruka
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Motomura Masakatsu
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Tokuda Masahiro
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Masuda Tomoko
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Fukuda Taku
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Tsujino Akira
The First Department of Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Motomura Masakatsu
The First Department of Internal Medicine, Graduate School of Biomedical Science, Nagasaki University
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