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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
A 医学部 = School of Medicine >
a10 学術雑誌論文等 = Journal Article >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/414
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| タイトル: | A case of scrub typhus complicated by severe DIC and death |
| その他のタイトル: | Case of scrub typhus complicated by severe disseminated intravascular coagulation and death |
| 著者: | Ono, Yuko
Ikegami, Yukihiro
Tasaki, Kazuhiro
Abe, Masahumi
Tase, Choichiro |
| 学内所属: | 救急医療学講座
病理病態診断学講座 |
| 誌名/書名: | Emergency medicine Australasia |
| 巻: | 24 |
| 号: | 5 |
| 開始ページ: | 577 |
| 終了ページ: | 580 |
| 発行日: | 2012年10月 |
| 抄録: | Scrub typhus is an infectious disease that is caused by Orientia tsutsugamushi. The authors describe an autopsied case of scrub typhus complicated with severe disseminated intravascular coagulation (DIC). An 82-year-old man complained of fever 4 days after climbing a mountain. The patient was admitted to an urban hospital, and meropenem and ceftriaxone were administered. The patient's condition deteriorated and he was transferred to a second hospital. On physical examination, a black scab was found and scrub typhus was suspected. Despite intensive treatment, the patient died on the fifth day. High levels of O. tsutsugamushi IgM antibody were confirmed. An autopsy revealed systemic vasculitis and perivasculitis. The endothelial tissue of the white pulp of the spleen was markedly infiltrated by plasma cells. The authors speculated that a severe immune reaction against O. tsutsugamushi enhanced an inflammatory response, leading to DIC. This case is a warning to doctors who are not familiar with scrub typhus. |
| 出版者: | Wiley |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/414 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/414/1/EmergMedAustralas_24_p577.pdf |
| ISSN: | 1742-6723 |
| DOI: | 10.1111/j.1742-6723.2012.01600.x |
| PubMed番号: | 23039302 |
| 異版(出版者版等): | http://dx.doi.org/10.1111/j.1742-6723.2012.01600.x |
| 権利情報: | © 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. This is the peer reviewed version of the following article: Emerg Med Australas. 24(5):577-80, which has been published in final form at http://dx.doi.org/10.1111/j.1742-6723.2012.01600.x |
| 出現コレクション: | a10 学術雑誌論文等 = Journal Article
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