Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome

We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomo...

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Detalles Bibliográficos
Autores principales: Yoo, Jihwan, Oh, Ji Woong, Jang, Chang Gi, Moon, Ju Hyung, Kim, Eui-Hyun, Chang, Jong Hee, Kim, Sun Ho, Kang, Seok-Gu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432452/
https://www.ncbi.nlm.nih.gov/pubmed/28512621
http://dx.doi.org/10.13004/kjnt.2017.13.1.57
Descripción
Sumario:We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomography indicated an acute subdural hemorrhage on the right convexity. He was given early decompressive craniectomy, but did not survive. Real-time reverse transcription polymerase chain reaction analysis of a blood sample indicated the presence of SFTS virus (SFTSV). This is the first reported case with intracranial hemorrhage and SFTS. This case report describes our treatment of a patient with acute SDH and an infection from a tick-borne species of Bunyaviridae.

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