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The first identification and retrospective study of Severe Fever with Thrombocytopenia Syndrome in Japan.


ABSTRACT:

Background

Severe fever with thrombocytopenia syndrome (SFTS) is caused by SFTS virus (SFTSV), a novel bunyavirus reported to be endemic in central and northeastern China. This article describes the first identified patient with SFTS and a retrospective study on SFTS in Japan.

Methods

?Virologic and pathologic examinations were performed on the patient's samples. Laboratory diagnosis of SFTS was made by isolation/genome amplification and/or the detection of anti-SFTSV immunoglobulin G antibody in sera. Physicians were alerted to the initial diagnosis and asked whether they had previously treated patients with symptoms similar to those of SFTS.

Results

A female patient who died in 2012 received a diagnosis of SFTS. Ten additional patients with SFTS were then retrospectively identified. All patients were aged ?50 years and lived in western Japan. Six cases were fatal. The ratio of males to females was 8:3. SFTSV was isolated from 8 patients. Phylogenetic analyses indicated that all of the Japanese SFTSV isolates formed a genotype independent to those from China. Most patients showed symptoms due to hemorrhage, possibly because of disseminated intravascular coagulation and/or hemophagocytosis.

Conclusions

SFTS has been endemic to Japan, and SFTSV has been circulating naturally within the country.

SUBMITTER: Takahashi T 

PROVIDER: S-EPMC7107388 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature

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The first identification and retrospective study of Severe Fever with Thrombocytopenia Syndrome in Japan.

Takahashi Toru T   Maeda Ken K   Suzuki Tadaki T   Ishido Aki A   Shigeoka Toru T   Tominaga Takayuki T   Kamei Toshiaki T   Honda Masahiro M   Ninomiya Daisuke D   Sakai Takenori T   Senba Takanori T   Kaneyuki Shozo S   Sakaguchi Shota S   Satoh Akira A   Hosokawa Takanori T   Kawabe Yojiro Y   Kurihara Shintaro S   Izumikawa Koichi K   Kohno Shigeru S   Azuma Taichi T   Suemori Koichiro K   Yasukawa Masaki M   Mizutani Tetsuya T   Omatsu Tsutomu T   Katayama Yukie Y   Miyahara Masaharu M   Ijuin Masahito M   Doi Kazuko K   Okuda Masaru M   Umeki Kazunori K   Saito Tomoya T   Fukushima Kazuko K   Nakajima Kensuke K   Yoshikawa Tomoki T   Tani Hideki H   Fukushi Shuetsu S   Fukuma Aiko A   Ogata Momoko M   Shimojima Masayuki M   Nakajima Noriko N   Nagata Noriyo N   Katano Harutaka H   Fukumoto Hitomi H   Sato Yuko Y   Hasegawa Hideki H   Yamagishi Takuya T   Oishi Kazunori K   Kurane Ichiro I   Morikawa Shigeru S   Saijo Masayuki M  

The Journal of infectious diseases 20131114 6


<h4>Background</h4>Severe fever with thrombocytopenia syndrome (SFTS) is caused by SFTS virus (SFTSV), a novel bunyavirus reported to be endemic in central and northeastern China. This article describes the first identified patient with SFTS and a retrospective study on SFTS in Japan.<h4>Methods</h4> Virologic and pathologic examinations were performed on the patient's samples. Laboratory diagnosis of SFTS was made by isolation/genome amplification and/or the detection of anti-SFTSV immunoglobul  ...[more]

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