Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017

Abstract Background Severe fever with thrombocytopenia syndrome (SFTS) is an emerging hemorrhagic fever that was first described in China in 2011. We report a patient who died of Severe fever with thrombocytopenia syndrome virus (SFTSV) infection, with a rapidly progressive central nervous system (C...

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Main Authors: Yi Sun, Bin Guo, Hao Yan, Ai Lan Wu, Wen Wu Yao, Kang Chen, Jun Hang Pan, Zhao Xia Li, Hai Yan Mao, Yan Jun Zhang
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Virology Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12985-019-1230-9
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author Yi Sun
Bin Guo
Hao Yan
Ai Lan Wu
Wen Wu Yao
Kang Chen
Jun Hang Pan
Zhao Xia Li
Hai Yan Mao
Yan Jun Zhang
author_facet Yi Sun
Bin Guo
Hao Yan
Ai Lan Wu
Wen Wu Yao
Kang Chen
Jun Hang Pan
Zhao Xia Li
Hai Yan Mao
Yan Jun Zhang
author_sort Yi Sun
collection DOAJ
description Abstract Background Severe fever with thrombocytopenia syndrome (SFTS) is an emerging hemorrhagic fever that was first described in China in 2011. We report a patient who died of Severe fever with thrombocytopenia syndrome virus (SFTSV) infection, with a rapidly progressive central nervous system (CNS) disturbance, in Dongyang, Zhejiang Province, China, in 2017. Case presentation A 64-year-old man was admitted to hospital after 4 days of fever. SFTSV was detected 1 day after the patient was admitted to hospital. The patient presented with CNS disturbance and died 4 days after admission. Detailed clinical and epidemiological investigations and laboratory tests were conducted. Reduced platelet, white blood cell, lymphocyte, and neutrophil counts, elevated lactate dehydrogenase, creatine kinase, aspartate aminotransferaseand alanine aminotransferase concentrations, and an increased activated partial thromboplastin time were observed. In a phylogenetic analysis, the isolate clustered close to a strain derived from South Korea. Conclusions: This is the first case of SFTSV infection with CNS disturbance in Dongyang, Zhejiang Province, China. The surveillance of suspected cases of SFTS is important in SFTSV endemic regions.
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spelling doaj.art-af9cce06ab38467fb3696ed97cf4a29f2022-12-21T22:44:25ZengBMCVirology Journal1743-422X2019-11-011611610.1186/s12985-019-1230-9Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017Yi Sun0Bin Guo1Hao Yan2Ai Lan Wu3Wen Wu Yao4Kang Chen5Jun Hang Pan6Zhao Xia Li7Hai Yan Mao8Yan Jun Zhang9Zhejiang Provincial Center for Disease Control and PreventionDongyang Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionDongyang Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionDongyang Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionDongyang People’s HospitalZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionAbstract Background Severe fever with thrombocytopenia syndrome (SFTS) is an emerging hemorrhagic fever that was first described in China in 2011. We report a patient who died of Severe fever with thrombocytopenia syndrome virus (SFTSV) infection, with a rapidly progressive central nervous system (CNS) disturbance, in Dongyang, Zhejiang Province, China, in 2017. Case presentation A 64-year-old man was admitted to hospital after 4 days of fever. SFTSV was detected 1 day after the patient was admitted to hospital. The patient presented with CNS disturbance and died 4 days after admission. Detailed clinical and epidemiological investigations and laboratory tests were conducted. Reduced platelet, white blood cell, lymphocyte, and neutrophil counts, elevated lactate dehydrogenase, creatine kinase, aspartate aminotransferaseand alanine aminotransferase concentrations, and an increased activated partial thromboplastin time were observed. In a phylogenetic analysis, the isolate clustered close to a strain derived from South Korea. Conclusions: This is the first case of SFTSV infection with CNS disturbance in Dongyang, Zhejiang Province, China. The surveillance of suspected cases of SFTS is important in SFTSV endemic regions.http://link.springer.com/article/10.1186/s12985-019-1230-9Severe fever with thrombocytopenia syndrome virusCentral nervous system disturbanceClinical characteristicEpidemiological featurePhylogenetic
spellingShingle Yi Sun
Bin Guo
Hao Yan
Ai Lan Wu
Wen Wu Yao
Kang Chen
Jun Hang Pan
Zhao Xia Li
Hai Yan Mao
Yan Jun Zhang
Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
Virology Journal
Severe fever with thrombocytopenia syndrome virus
Central nervous system disturbance
Clinical characteristic
Epidemiological feature
Phylogenetic
title Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
title_full Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
title_fullStr Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
title_full_unstemmed Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
title_short Patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in Dongyang, Zhejiang Province, China, 2017
title_sort patient with severe fever with thrombocytopenia syndrome virus infection and central nervous system disturbance in dongyang zhejiang province china 2017
topic Severe fever with thrombocytopenia syndrome virus
Central nervous system disturbance
Clinical characteristic
Epidemiological feature
Phylogenetic
url http://link.springer.com/article/10.1186/s12985-019-1230-9
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