Korean Journal of Neurotrauma  2017;13(1):57-60

doi:10.13004/kjnt.2017.13.1.57

Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome.

Jihwan YOO 1 ; Ji Woong OH ; Chang Gi JANG ; Ju Hyung MOON ; Eui Hyun KIM ; Jong Hee CHANG ; Sun Ho KIM ; Seok Gu KANG

Affiliations

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Keywords

Severe fever with thrombocytopenia syndrome; Bunyavirus; Subdural hematoma; Acute; Thrombocytopenia

Country

Republic 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.