A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR)

Keiko Nishimura, Kanako Furuta, Masamichi Abe, Mamiko Isami, Akiko Yagami, Kayoko Matsunaga

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)220-223
Number of pages4
JournalSkin Research
Volume11
Issue number3
Publication statusPublished - 01-06-2012

Fingerprint

Scrub Typhus
Fever
Polymerase Chain Reaction
Headache
Referral and Consultation
Minocycline
Groin
Bites and Stings
Erythema
Lakes
Leg
Extremities
Lymph Nodes
Genotype
Therapeutics

All Science Journal Classification (ASJC) codes

  • Dermatology
  • Infectious Diseases

Cite this

Nishimura, K., Furuta, K., Abe, M., Isami, M., Yagami, A., & Matsunaga, K. (2012). A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR). Skin Research, 11(3), 220-223.
Nishimura, Keiko ; Furuta, Kanako ; Abe, Masamichi ; Isami, Mamiko ; Yagami, Akiko ; Matsunaga, Kayoko. / A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR). In: Skin Research. 2012 ; Vol. 11, No. 3. pp. 220-223.
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Nishimura, K, Furuta, K, Abe, M, Isami, M, Yagami, A & Matsunaga, K 2012, 'A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR)', Skin Research, vol. 11, no. 3, pp. 220-223.

A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR). / Nishimura, Keiko; Furuta, Kanako; Abe, Masamichi; Isami, Mamiko; Yagami, Akiko; Matsunaga, Kayoko.

In: Skin Research, Vol. 11, No. 3, 01.06.2012, p. 220-223.

Research output: Contribution to journalArticle

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Nishimura K, Furuta K, Abe M, Isami M, Yagami A, Matsunaga K. A case of tsutsugamushi disease rapidly diagnosed with polymerase chain reaction (PCR). Skin Research. 2012 Jun 1;11(3):220-223.