Open AccessSevere fever with thrombocytopenia syndrome complicated with subdural hematoma: A rare case and literature review
Author(s) -
Endo Takeshi,
Yamamoto Norio,
Inoue Shinichiro,
Yoshikane Tsutomu,
Fujisawa Naoki,
Imada Toshihiro,
Hattori Shuzo
Publication year - 2019
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.273
Subject(s) - medicine , malaise , severe fever with thrombocytopenia syndrome , magnetic resonance imaging , subdural hematomas , hematoma , subdural hemorrhage , surgery , fever of unknown origin , head trauma , radiology , virus , virology
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.