Yamano Kimiaki, Ito Takuya, Kiyanagi Kaori, Yamazaki Hirotaka, Sugawara Mutsubu, Saito Takashige, Ohashi Norio, Zamoto-Niikura Aya, Sato Kozue, Kawabata Hiroki
Department of Infectious Diseases, Hokkaido Institute of Public Health, Sapporo Japan.
Clinical Laboratory, Higashiasahikawa Hospital, Higashiasahikawa, Asahikawa, Japan.
Am J Trop Med Hyg. 2017 Jul;97(1):84-87. doi: 10.4269/ajtmh.16-0699.
We herein report a case of suspected disease in Hokkaido, Japan. The patient complained of lassitude, arthralgia, and high fever after a tick bite. Furthermore, at the time of consultation, the patient exhibited momentary loss of consciousness and low blood pressure. Laboratory tests revealed elevation of liver enzymes, thrombocytopenia, and increased C-reactive protein. Seroconversion to glycerophosphoryl diester phosphodiesterase antigen suggested the patient was infected with a relapsing fever group species.
我们在此报告日本北海道一例疑似该病的病例。患者在被蜱虫叮咬后出现乏力、关节痛和高热。此外,在就诊时,患者出现短暂意识丧失和低血压。实验室检查显示肝酶升高、血小板减少以及C反应蛋白升高。针对甘油磷酸二酯磷酸二酯酶抗原的血清转化表明患者感染了回归热组的一种物种。