J Korean Med Sci.  2017 Apr;32(4):704-707. 10.3346/jkms.2017.32.4.704.

A Pediatric Case of Severe Fever with Thrombocytopenia Syndrome in Korea

• Song TY
• Yang EM
• Kim CJ

• KMID: 2371460
• DOI: http://doi.org/10.3346/jkms.2017.32.4.704

Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease and elderly people living in rural areas have the greatest risk of infection. We report the first pediatric case of SFTS in Korea and the clinical characteristics and disease progression in children. A 10-year-old child from Chonnam province visited the hospital with myalgia and a history of fever over the previous 8 days. Her father noticed a tick on her head and removed it before fever developed. Because the symptoms continued, her father consulted the community health center and SFTS virus was detected both from the tick (Haemaphysalis longicornis) and the patient's blood. On hospitalization, fever and severe myalgia were improved and no gastrointestinal and hemorrhagic symptoms were observed. The patient was successfully treated with a combination of steroids, IVIG, and ribavirin. In this report, a pediatric case of SFTS presents a mild clinical course but close attention must be paid to the screening of children with mild symptoms consisting of SFTS.

Keyword

Severe Fever with Thrombocytopenia Syndrome Bunyavirus; Phlebovirus; Child; Korea

Figure

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  Fig. 1 Time course of laboratory parameters. WBC = white blood cells, AST = aspartate aminotransferase, ALT = alanine transaminase, LDH = lactate dehydrogenase, CK = creatine kinase.

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