Noji Yoshihiro, Takada Nobuhiro, Ishiguro Fubito, Fujino Susumu, Aoyama Takahiko, Fujita Hiromi, Yano Yasuhiro, Shiomi Syunichi, Mitsuto Isamu, Takase Keiichiro, Haba Toshihiro, Mabuchi Hiroshi
Department of Internal Medicine, Fukui Prefectural Hospital, Fukui 910-8526, Japan.
Jpn J Infect Dis. 2005 Apr;58(2):112-4.
A 53-year-old man visited Mt. Arashima-dake in Fukui Prefecture, and was infested by a tick-like organism. He visited a local clinic on July 12, 2004, complaining of high fever, general fatigue and rash. After several days without definite diagnosis, he was admitted to the Fukui Prefectural Hospital, where he was treated with minocycline hydrochloride for 10 days until recovery. His clinical symptoms on admission were high fever (39.6 degrees C), erythematous eruption, eschar on the right upper arm, and regional lymphoadenopathy. The epidemiological status and some clinical findings strongly suggested spotted fever (SF), and SF was confirmed based on the finding that his sera were reactive only to antigens of the SF group rickettsiae in the indirect immunoperoxidase analysis. This case is the first official report of SF rickettsiosis in Fukui Prefecture, the northern part of central Japan.
一名53岁男性前往福井县的荒岛岳，被一种蜱样生物叮咬。2004年7月12日，他因高热、全身乏力和皮疹前往当地诊所就诊。经过数天未明确诊断后，他被收治入福井县立医院，在该院接受盐酸米诺环素治疗10天直至康复。他入院时的临床症状为高热（39.6摄氏度）、红斑疹、右上臂焦痂及局部淋巴结病。流行病学情况和一些临床发现强烈提示为斑点热（SF），基于间接免疫过氧化物酶分析中其血清仅与SF群立克次体抗原反应这一发现，确诊为SF。该病例是日本中部北部福井县首例斑点热立克次体病的官方报告。
