Tsutsugamushi disease with hemophagocytosis complicated by Parvovirus B 19 infection
| Autor: | Masahiro Ohta, Akio Kikuchi, Shinichi Sugahara, Kouji Ohsugi, Keiko Miyakawa, Chizuko Kuriyama |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
biology
business.industry Parvovirus Minocycline Genitalia Female General Medicine Tsutsugamushi disease biology.organism_classification Virology Lymphohistiocytosis Hemophagocytic Anti-Bacterial Agents Parvoviridae Infections Treatment Outcome Scrub Typhus Immunology Parvovirus B19 Human Humans Medicine Female Hemophagocytosis business Aged |
| Zdroj: | Nihon Naika Gakkai Zasshi. 95:2544-2546 |
| ISSN: | 1883-2083 0021-5384 |
| DOI: | 10.2169/naika.95.2544 |
| Popis: | 症例は74歳女性. 39℃の発熱, 血圧低下, CRP高値, 肝機能障害を認め入院. 第3世代セフェム, カルバペネム系抗菌薬を投与したが呼吸状態は悪化し, empiric therapyとしてminocyclineを投与したところ, 速やかに解熱した. 外陰部に刺し口を認め, 抗ツツガムシ抗体高値, 抗パルボB19抗体IgM高値であり, パルボB19とツツガムシ病の重複感染と診断した. 骨髄穿刺では血球貪食像を認めた. |
| Databáze: | OpenAIRE |
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