J Korean Soc Emerg Med.  2015 Aug;26(4):326-330. 10.0000/jksem.2015.26.4.326.

Severe Fever with Thrombocytopenia Syndrome Mimicking Scrub Typhus: Three Case Reports

Affiliations
  • 1Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea.
  • 2Division of Infectious Disease, Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. neosangtaek@naver.com
  • 3Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea.
  • 4Department of Dermatology, Jeju National University School of Medicine, Jeju, Korea.

Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease in South Korea with clinical features similar to those of scrub typhus. Infected patients with these two diseases usually visited the emergency department (ED) complaining of fever that was not responsive to treatment in a local clinic. Aggressive management of SFTS is required in order to prevent rapid progression and human-to-human transmission, thus rapid and accurate differential diagnosis of the two diseases in the ED is important. We reported three laboratory confirmed cases of SFTS during 2013-2014 in a single center, with fever, skin lesions, and history of outdoor activities in order to help in differential diagnosis between SFTS and scrub typhus in the ED.

Keyword

Severe fever with thrombocytopenia syndrome; Scrub typhus; Fever

MeSH Terms

Communicable Diseases, Emerging
Diagnosis, Differential
Emergency Service, Hospital
Fever*
Humans
Korea
Scrub Typhus*
Skin
Thrombocytopenia*
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