Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome

We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomo...

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Bibliographic Details
Published in:Korean journal of neurotrauma 2017, 13(1), , pp.57-60
Main Authors: Yoo, Jihwan, Oh, Ji Woong, Jang, Chang Gi, Moon, Ju Hyung, Kim, Eui-Hyun, Chang, Jong Hee, Kim, Sun Ho, Kang, Seok-Gu
Format: Article
Language:English
Subjects:
Case Report
신경외과학
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Summary:We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomography indicated an acute subdural hemorrhage on the right convexity. He was given early decompressive craniectomy, but did not survive. Real-time reverse transcription polymerase chain reaction analysis of a blood sample indicated the presence of SFTS virus (SFTSV). This is the first reported case with intracranial hemorrhage and SFTS. This case report describes our treatment of a patient with acute SDH and an infection from a tick-borne species of Bunyaviridae.
ISSN:2234-8999
2288-2243
DOI:10.13004/kjnt.2017.13.1.57