神戸市内で発生し呼吸不全を伴った重症日本紅斑熱の1 例

DOI Web Site Web Site 被引用文献1件 参考文献9件

書誌事項

タイトル別名
  • Severe Japanese Spotted Fever Complicated by Acute Respiratory Failure in Kobe City
  • 症例 神戸市内で発生し呼吸不全を伴った重症日本紅斑熱の1例
  • ショウレイ コウベ シナイ デ ハッセイ シ コキュウ フゼン オ トモナッタ ジュウショウ ニホンコウ ハン ネツ ノ 1レイ

この論文をさがす

抄録

We report herein on a case of severe Japanese spotted fever complicated by acute respiratory failure in Kobe City. A 70-year-old female presenting with general malaise and systematic erythema was admitted to our hospital in June, 2013. From her history and physical examination, she was found to be suffering from scleroderma and mild interstitial pneumonia. From admission, the patient was noted to have a fever of 39℃ accompanied by relative bradycardia. Physical examination revealed a black eschar on her right leg, making us suspect rickettsial infection since Kobe City is not an area predisposed to Japanese spotted fever. Three days after admission, her condition worsened and treatment with minocycline and levofloxacin was initiated in accordance with the treatment protocol for Japanese spotted fever. The following day, the patient developed acute respiratory distress syndrome (ARDS) and was put on a respirator. She gradually recovered with the antibiotic treatment and was discharged from the hospital 23 days after admission. The diagnosis of Japanese spotted fever was confirmed by conducting a polymerase chain reaction test on the eschar. Japanese spotted fever is noted to occur in any place other than Kobe City. Late diagnoses may result in aggravated cases of Japanese spotted fever, with the possibility of developing ARDS as a complication.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 90 (2), 120-124, 2016

    一般社団法人 日本感染症学会

被引用文献 (1)*注記

もっと見る

参考文献 (9)*注記

もっと見る

関連プロジェクト

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ