Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome.
10.13004/kjnt.2017.13.1.57
- Author:
Jihwan YOO
1
;
Ji Woong OH
;
Chang Gi JANG
;
Ju Hyung MOON
;
Eui Hyun KIM
;
Jong Hee CHANG
;
Sun Ho KIM
;
Seok Gu KANG
Author Information
1. Department of Neurosurgery, Brain Tumor Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. seokgu9@gmail.com
- Publication Type:Case Report
- Keywords:
Severe fever with thrombocytopenia syndrome;
Bunyavirus;
Subdural hematoma;
Acute;
Thrombocytopenia
- MeSH:
Aged;
Brain;
Bunyaviridae;
Decompressive Craniectomy;
Fever*;
Hematoma, Subdural*;
Hematoma, Subdural, Acute;
Hospitalization;
Humans;
Intracranial Hemorrhages;
Korea;
Male;
Orthobunyavirus;
Polymerase Chain Reaction;
Reverse Transcription;
Thrombocytopenia*;
Ticks*
- From:Korean Journal of Neurotrauma
2017;13(1):57-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomography indicated an acute subdural hemorrhage on the right convexity. He was given early decompressive craniectomy, but did not survive. Real-time reverse transcription polymerase chain reaction analysis of a blood sample indicated the presence of SFTS virus (SFTSV). This is the first reported case with intracranial hemorrhage and SFTS. This case report describes our treatment of a patient with acute SDH and an infection from a tick-borne species of Bunyaviridae.
