A Case of Dengue Fever Acquired in Japan

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  • Shimizu Ayaka
    Department of Dermatology, Tokyo Women's Medical University
  • Saito Noboru
    Department of General Medicine, Tokyo Women's Medical University Hospital
  • Shinohara Koh
    Disease Control and Prevention Center, National Center for Global Health and Medicine
  • Mawatari Momoko
    Disease Control and Prevention Center, National Center for Global Health and Medicine
  • Ohmagari Noriko
    Disease Control and Prevention Center, National Center for Global Health and Medicine
  • Kawashima Makoto
    Department of Dermatology, Tokyo Women's Medical University

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Other Title
  • 本邦で感染したデング熱の1例
  • 症例報告 本邦で感染したデング熱の1例
  • ショウレイ ホウコク ホンポウ デ カンセン シタ デングネツ ノ 1レイ

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Abstract

A 46-year-old man developed erythema and a few papules on the trunk and extremities, accompanied by a fever and headache. Laboratory data revealed leukocytopenia, decreased platelet count, and liver dysfunction. Tsutsugamushi disease was initially suspected; however, a case of a patient domestically infected with dengue fever reported to the Ministry of Health, Labour and Welfare prompted examination of this patient for dengue fever. The patient was positive for the IgM antibody to the dengue virus. Three weeks after the onset, the systemic symptoms and skin eruptions disappeared with desquamation of the palm and sole. The number of patients domestically infected with dengue fever may increase in Japan. Therefore, Japanese dermatologists should learn to recognize dengue fever-related skin manifestations for early diagnosis.

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