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伴有横纹肌溶解的严重发热伴血小板减少综合征

Severe Fever with Thrombocytopenia Syndrome Presenting with Rhabdomyolysis.

作者信息

Kim Min Gu, Jung Jiwon, Hong Sang Bum, Lee Sang Oh, Choi Sang Ho, Kim Yang Soo, Woo Jun Hee, Kim Sung Han

机构信息

Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Respiratory and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Infect Chemother. 2017 Mar;49(1):68-71. doi: 10.3947/ic.2017.49.1.68. Epub 2017 Jan 19.

Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging febrile illness. While many kinds of severe complications including acute renal failure have been reported, rhabdomyolysis is rarely reported in association with SFTS. A 54-year-old female farmer was admitted with fever and diffuse myalgia. Laboratory finding showed thrombocytopenia, leukopenia, azotemia, extremely elevated muscle enzyme levels and myoglobinuria. We describe a fatal case of rhabdomyolysis with acute renal failure complicated by SFTS.

摘要

发热伴血小板减少综合征(SFTS)是一种新出现的发热性疾病。虽然已经报道了包括急性肾衰竭在内的多种严重并发症,但与SFTS相关的横纹肌溶解症鲜有报道。一名54岁的女性农民因发热和弥漫性肌痛入院。实验室检查发现血小板减少、白细胞减少、氮质血症、肌肉酶水平极度升高和肌红蛋白尿。我们描述了一例并发SFTS的横纹肌溶解症合并急性肾衰竭的致死病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4318/5382053/b0c5c046d317/ic-49-68-g001.jpg

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