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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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