TY - JOUR
T1 - A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR)
AU - Nishimura, Keiko
AU - Furuta, Kanako
AU - Abe, Masamichi
AU - Isami, Mamiko
AU - Yagami, Akiko
AU - Matsunaga, Kayoko
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2012/6
Y1 - 2012/6
N2 - A 51-year-old man went mandarin orange picking near Lake Hamanako in Shizuoka Prefecture 15 days before the initial consultation to our hospital, followed by fishing at a pond in Nagoya City, Aichi Prefecture. He developed high grade fever and headache 5 days after fishing. When he visited our hospital, he had fever of 38 °C, headache, faint erythema on the trunk and extremities, a crust bite mark on the left lower leg, and enlarged lymph nodes in both inguinal regions. We suspected tsutsugamushi disease ; therefore, a blood sample was subjected to PCR. Kawasaki genotype was identified. Close to full recovery was achieved after a two-week treatment with minocycline hydrochloride initiated at the initial consultation. When we see a patient with fever and eruptions, it is necessary to keep in mind the possibility of tsutsugamushi disease. It is important to make a rapid diagnose with PCR and start medical treatment in this disease.
AB - A 51-year-old man went mandarin orange picking near Lake Hamanako in Shizuoka Prefecture 15 days before the initial consultation to our hospital, followed by fishing at a pond in Nagoya City, Aichi Prefecture. He developed high grade fever and headache 5 days after fishing. When he visited our hospital, he had fever of 38 °C, headache, faint erythema on the trunk and extremities, a crust bite mark on the left lower leg, and enlarged lymph nodes in both inguinal regions. We suspected tsutsugamushi disease ; therefore, a blood sample was subjected to PCR. Kawasaki genotype was identified. Close to full recovery was achieved after a two-week treatment with minocycline hydrochloride initiated at the initial consultation. When we see a patient with fever and eruptions, it is necessary to keep in mind the possibility of tsutsugamushi disease. It is important to make a rapid diagnose with PCR and start medical treatment in this disease.
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M3 - Article
AN - SCOPUS:84867665471
VL - 11
SP - 220
EP - 223
JO - Skin Research
JF - Skin Research
SN - 0018-1390
IS - 3
ER -