A CASE OF TSUTSUGAMUSHI DISEASE SHOWED THE SEVERE ABDOMINAL PAIN AND THE DISSEMINATED INTRAVASCULAR COAGULATION (DIC). A STUDY ABOUT A STATE OF OCCURRENCE OF TSUTSUGAMUSHI DISEASE IN GUNMA PREFECTURE.
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A 33-years old female was referred to our hospital with the diagnosis of acute peritonitis, unknown origin.<BR>Hematological date showed the leucocytosis with neutrophilia, the slight decrease in platelet count (10 × 10<SUP>4</SUP>/mm<SUP>3</SUP>), the severe decrease of serum fibrinogen (89mg/dl), and the moderate increase in serum FDP (10μg/dl), bleeding time (9min.), coagulating time (15min.), the culture of the blood resulted in no growth of bacteria, but Limulus test was positive.<BR>Our diagnosis is sepsis at the beginning, but we found small ulcer covered black crust at her right leg, and established Tsutsugamshi disease by serological test.<BR>The patient was completely recovered by the therapy with tetracycline, but this clinical course was abnormal, so we reported this case, and studied about a state of occurrence of Tsutsugamushi disease in Gunma prefecture, and investigated about new type of Tsutsugamushi disease in Japan.
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北関東医学会 | 論文
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