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Mononucleosis-like illnesses due to co-infection with severe fever with thrombocytopenia syndrome virus and spotted fever group rickettsia:a case report
- Source :
- BMC Infectious Diseases, BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-5 (2021)
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Background We report a mononucleosis-like illnesses case due to co-infection with severe fever with thrombocytopenia syndrome virus (SFTSV) and spotted fever group rickettsia (SFGR), which to the best of our knowledge, has never been reported . Case presentation A 64-year-old male with an 11-day history of fever, sore throat, malaise, nausea, and non-pruritic rash was admitted to our emergency department. Prior to admission, he was bitten by ticks. Laboratory tests revealed a white blood cell count of 24,460 cells/μL with 25% atypical lymphocytes and 20% mononucleosis, thrombocytopenia. Test results were positive for SFTSV RNA, SFTSV-specific IgM antibody, and SFGR-specific IgM antibody. He was diagnosed with mononucleosis-like illnesses due to co-infection with SFTSV and SFGR. After administration of doxycycline, he recovered completely. Conclusions The clinical presentation may be atypical in co-infection with SFTSV and SFGR. This finding highlighted the importance of considering SFGR infection, as well as a SFSTV and SFGR co-infection for the differential diagnosis of patients bitten by ticks in SFTSV-endemic areas.
- Subjects :
- Male
Phlebovirus
medicine.medical_specialty
Severe Fever with Thrombocytopenia Syndrome
Mononucleosis
Case Report
Infectious and parasitic diseases
RC109-216
Malaise
Severe fever with thrombocytopenia syndrome virus
Medical microbiology
Sore throat
Humans
Medicine
Rickettsia
biology
Coinfection
business.industry
Middle Aged
Spotted Fever Group Rickettsiosis
medicine.disease
biology.organism_classification
Rash
Spotted fever group rickettsia
Co-infection
Spotted fever
Infectious Diseases
Immunology
medicine.symptom
business
Mononucleosis-like illnesses
Subjects
Details
- ISSN :
- 14712334
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- BMC Infectious Diseases
- Accession number :
- edsair.doi.dedup.....d90d7809ccff1caf1d12a239254b29f9