Ulcerative Lesions with Hemorrhage in a Patient with Severe Fever with Thrombocytopenia Syndrome Observed via Upper Gastrointestinal Endoscopy
Ulcerative Lesions with Hemorrhage in a Patient with Severe Fever with Thrombocytopenia Syndrome Observed via Upper Gastrointestinal Endoscopy
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DOI：
10.7883/yoken.jjid.2015.404
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发表时间：
2016-11-01
影响因子：
2.2
通讯作者：
Saijo, Masayuki
中科院分区：
文献类型：
--
作者：
Kaneyuki, Shozo;Yoshikawa, Tomoki;Saijo, Masayuki
严重发热伴血小板减少综合征（SFTS）是由布尼亚病毒科（Bunyaviridae）白蛉病毒属（Phlebovirus）病毒引起的一种新型布尼亚病毒感染，病死率高。一名先前健康的72岁男性表现出发热、全身疲劳和意识改变的症状。他住院接受治疗。第3天，考虑到病程中第一次出现发热的当天为第0天，他出现血性呕吐。急诊上消化道内视镜检查发现胃部有多处溃疡性病灶并持续渗血。他在第7天死亡。他被回顾性诊断为SFTS，虽然胃溃疡病变不太可能直接由SFTSV复制引起，但很明显，出血性呕吐可能与SFTS的病理生理学相关。本文报告了一个SFTS患者胃溃疡病变的实时成像。
Severe fever with thrombocytopenia syndrome (SFTS) is a novel bunyavirus infection caused by the SFTS virus (SFTSV, family Bunyaviridae, genus Phlebovirus) with a high case fatality rate. A previously healthy 72-year-old man showed symptoms of fever, general fatigue, and altered consciousness. He was hospitalized for treatment. On day 3, considering the day on which fever appeared first during the disease course as day 0, he had bloody emesis. An emergency upper gastrointestinal endoscopic examination revealed multiple ulcerative lesions with continuously oozing hemorrhage in the stomach. He died on day 7. He was retrospectively diagnosed as having SFTS, Although it was less likely that the gastric ulcerative lesions were directly induced by SFTSV replication, it was evident that hemorrhagic emesis might occur in the patient in association with the pathophysiology of SFTS. The real-time imaging of gastric ulcerative lesions in a patient with SFTS is reported.