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Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by the SFTS virus. It involves multiple organ systems, including the lungs. However, the significance of the lung involvement in SFTS remains unclear. In the present study, we aimed to investigate the relatio...

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Autores principales: Ashizawa, Hiroki, Yamamoto, Kazuko, Ashizawa, Nobuyuki, Takeda, Kazuaki, Iwanaga, Naoki, Takazono, Takahiro, Sakamoto, Noriho, Sumiyoshi, Makoto, Ide, Shotaro, Umemura, Asuka, Yoshida, Masataka, Fukuda, Yuichi, Kobayashi, Tsutomu, Tashiro, Masato, Tanaka, Takeshi, Katoh, Shungo, Morimoto, Konosuke, Ariyoshi, Koya, Morimoto, Shimpei, Tun, Mya Myat Ngwe, Inoue, Shingo, Morita, Kouichi, Kurihara, Shintaro, Izumikawa, Koichi, Yanagihara, Katzunori, Mukae, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877260/
https://www.ncbi.nlm.nih.gov/pubmed/35215872
http://dx.doi.org/10.3390/v14020279
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author Ashizawa, Hiroki
Yamamoto, Kazuko
Ashizawa, Nobuyuki
Takeda, Kazuaki
Iwanaga, Naoki
Takazono, Takahiro
Sakamoto, Noriho
Sumiyoshi, Makoto
Ide, Shotaro
Umemura, Asuka
Yoshida, Masataka
Fukuda, Yuichi
Kobayashi, Tsutomu
Tashiro, Masato
Tanaka, Takeshi
Katoh, Shungo
Morimoto, Konosuke
Ariyoshi, Koya
Morimoto, Shimpei
Tun, Mya Myat Ngwe
Inoue, Shingo
Morita, Kouichi
Kurihara, Shintaro
Izumikawa, Koichi
Yanagihara, Katzunori
Mukae, Hiroshi
author_facet Ashizawa, Hiroki
Yamamoto, Kazuko
Ashizawa, Nobuyuki
Takeda, Kazuaki
Iwanaga, Naoki
Takazono, Takahiro
Sakamoto, Noriho
Sumiyoshi, Makoto
Ide, Shotaro
Umemura, Asuka
Yoshida, Masataka
Fukuda, Yuichi
Kobayashi, Tsutomu
Tashiro, Masato
Tanaka, Takeshi
Katoh, Shungo
Morimoto, Konosuke
Ariyoshi, Koya
Morimoto, Shimpei
Tun, Mya Myat Ngwe
Inoue, Shingo
Morita, Kouichi
Kurihara, Shintaro
Izumikawa, Koichi
Yanagihara, Katzunori
Mukae, Hiroshi
author_sort Ashizawa, Hiroki
collection PubMed
description Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by the SFTS virus. It involves multiple organ systems, including the lungs. However, the significance of the lung involvement in SFTS remains unclear. In the present study, we aimed to investigate the relationship between the clinical findings and abnormalities noted in the chest computed tomography (CT) of patients with SFTS. The medical records of 22 confirmed SFTS patients hospitalized in five hospitals in Nagasaki, Japan, between April 2013 and September 2019, were reviewed retrospectively. Interstitial septal thickening and ground-glass opacity (GGO) were the most common findings in 15 (68.1%) and 12 (54.5%) patients, respectively, and lung GGOs were associated with fatalities. The SFTS patients with a GGO pattern were elderly, had a disturbance of the conscious and tachycardia, and had higher c-reactive protein levels at admission (p = 0.009, 0.006, 0.002, and 0.038, respectively). These results suggested that the GGO pattern in patients with SFTS displayed disseminated inflammation in multiple organs and that cardiac stress was linked to higher mortality. Chest CT evaluations may be useful for hospitalized patients with SFTS to predict their severity and as early triage for the need of intensive care.
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spelling pubmed-88772602022-02-26 Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome Ashizawa, Hiroki Yamamoto, Kazuko Ashizawa, Nobuyuki Takeda, Kazuaki Iwanaga, Naoki Takazono, Takahiro Sakamoto, Noriho Sumiyoshi, Makoto Ide, Shotaro Umemura, Asuka Yoshida, Masataka Fukuda, Yuichi Kobayashi, Tsutomu Tashiro, Masato Tanaka, Takeshi Katoh, Shungo Morimoto, Konosuke Ariyoshi, Koya Morimoto, Shimpei Tun, Mya Myat Ngwe Inoue, Shingo Morita, Kouichi Kurihara, Shintaro Izumikawa, Koichi Yanagihara, Katzunori Mukae, Hiroshi Viruses Article Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by the SFTS virus. It involves multiple organ systems, including the lungs. However, the significance of the lung involvement in SFTS remains unclear. In the present study, we aimed to investigate the relationship between the clinical findings and abnormalities noted in the chest computed tomography (CT) of patients with SFTS. The medical records of 22 confirmed SFTS patients hospitalized in five hospitals in Nagasaki, Japan, between April 2013 and September 2019, were reviewed retrospectively. Interstitial septal thickening and ground-glass opacity (GGO) were the most common findings in 15 (68.1%) and 12 (54.5%) patients, respectively, and lung GGOs were associated with fatalities. The SFTS patients with a GGO pattern were elderly, had a disturbance of the conscious and tachycardia, and had higher c-reactive protein levels at admission (p = 0.009, 0.006, 0.002, and 0.038, respectively). These results suggested that the GGO pattern in patients with SFTS displayed disseminated inflammation in multiple organs and that cardiac stress was linked to higher mortality. Chest CT evaluations may be useful for hospitalized patients with SFTS to predict their severity and as early triage for the need of intensive care. MDPI 2022-01-28 /pmc/articles/PMC8877260/ /pubmed/35215872 http://dx.doi.org/10.3390/v14020279 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ashizawa, Hiroki
Yamamoto, Kazuko
Ashizawa, Nobuyuki
Takeda, Kazuaki
Iwanaga, Naoki
Takazono, Takahiro
Sakamoto, Noriho
Sumiyoshi, Makoto
Ide, Shotaro
Umemura, Asuka
Yoshida, Masataka
Fukuda, Yuichi
Kobayashi, Tsutomu
Tashiro, Masato
Tanaka, Takeshi
Katoh, Shungo
Morimoto, Konosuke
Ariyoshi, Koya
Morimoto, Shimpei
Tun, Mya Myat Ngwe
Inoue, Shingo
Morita, Kouichi
Kurihara, Shintaro
Izumikawa, Koichi
Yanagihara, Katzunori
Mukae, Hiroshi
Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title_full Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title_fullStr Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title_full_unstemmed Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title_short Associations between Chest CT Abnormalities and Clinical Features in Patients with the Severe Fever with Thrombocytopenia Syndrome
title_sort associations between chest ct abnormalities and clinical features in patients with the severe fever with thrombocytopenia syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877260/
https://www.ncbi.nlm.nih.gov/pubmed/35215872
http://dx.doi.org/10.3390/v14020279
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