Severe fever with thrombocytopenia syndrome complicated with subdural hematoma: A rare case and literature review.
Takeshi EndoNorio YamamotoShinichiro InoueTsutomu YoshikaneNaoki FujisawaToshihiro ImadaShuzo HattoriPublished in: Journal of general and family medicine (2019)
A 79-year-old woman presented with fever and general malaise. Examination revealed hepatic injury, thrombocytopenia, skin lesions, and regional lymphadenopathy; severe fever with thrombocytopenia syndrome (SFTS) was diagnosed using polymerase chain reaction. The patient developed impaired consciousness that worsened after 4 days. Magnetic resonance imaging of the head revealed a subdural hematoma in the occipital region with an uncertain onset time. As SFTS rarely causes intracranial hemorrhage, the associated risk factors are unknown. Clinicians may overlook potential intracranial hemorrhage in stuporous SFTS patients.
Keyphrases
- case report
- rare case
- magnetic resonance imaging
- end stage renal disease
- optic nerve
- ejection fraction
- newly diagnosed
- single cell
- early onset
- peritoneal dialysis
- palliative care
- prognostic factors
- computed tomography
- magnetic resonance
- patient reported outcomes
- risk assessment
- contrast enhanced
- human health
- climate change