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A case of Japanese spotted fever complicated with central nervous system involvement and multiple organ failure


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Title: A case of Japanese spotted fever complicated with central nervous system involvement and multiple organ failure
Authors: Nakata, Ruka / Motomura, Masakatsu / Tokuda, Masahiro / Nakajima, Hideki / Masuda, Tomoko / Fukuda, Taku / Tsujino, Akira / Yoshimura, Toshiro / Kawakami, Atsushi
Issue Date: 1-Apr-2012
Publisher: The Japanese Society of Internal Medicine / 日本内科学会
Citation: Internal Medicine, 51(7), pp.783-786; 2012
Abstract: Japanese spotted fever (JSF), first reported in 1984, is a rickettsial disease characterized by high fever, rash, and eschar formation. A 61-year-old man was admitted to a local hospital in Nagasaki City, Japan, after several days of high fever and generalized skin erythema. His condition deteriorated and laboratory findings indicated disseminated intravascular coagulation (DIC). The patient was transferred to our hospital with mental disturbance and status epilepticus. Treatment included minocycline, and new quinolone. Definitive diagnosis was made with a serological test showing increased antibody levels against Rickettsia japonica. Rickettsial infections are rare, but should be seriously considered for the differential diagnosis of aseptic meningitis and encephalitis, as they show no response to conventional antibiotic treatment.
Keywords: Aseptic meningitis and encephalitis / DIC / Japanese spotted fever / Rickettsia japonica
URI: http://hdl.handle.net/10069/29080
ISSN: 09182918
DOI: 10.2169/internalmedicine.51.6214
Rights: © 2012 The Japanese Society of Internal Medicine.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/29080

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