Severe fever with thrombocytopenia syndrome complicated with subdural hematoma: A rare case and literature review

Takeshi Endo, Norio Yamamoto, Shinichiro Inoue, Tsutomu Yoshikane, Naoki Fujisawa, Toshihiro Imada, Shuzo Hattori

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)251-254
Number of pages4
JournalJournal of General and Family Medicine
Volume20
Issue number6
DOIs
Publication statusPublished - Nov 2019
Externally publishedYes

Keywords

  • consciousness disturbance
  • intracranial hemorrhage
  • severe fever with thrombocytopenia syndrome
  • subdural hematoma

ASJC Scopus subject areas

  • Family Practice
  • Geriatrics and Gerontology
  • Internal Medicine

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