書誌事項
- タイトル別名
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- A Case of Japanese Spotted Fever Misdiagnosed as COVID-19 on Admission
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説明
<p>COVID-19 is manifested by various symptoms and needs to be distinguished from other diseases. We report the case of a patient with Japanese spotted fever (JSF) who was admitted with a diagnosis of COVID-19. The patient was a 72-year-old woman with high fever whose SARS-CoV-2 rapid antigen test was positive. She also had rashes on her trunk and extremities, including on her palms and soles. We treated her as a COVID-19 patient, viewing her rashes as a complication of COVID-19 or a drug eruption. However, her fever and rashes persisted. Her medical history revealed a history of mowing, which involves a high risk of tick bites, and we discovered an eschar on her left popliteal fossa. We then suspected JSF and treated her with intravenous minocycline and levofloxacin as a severe case. PCR testing of specimens from the eschar was positive for Rickettsia japonica. A confirmatory SARS-CoV-2 PCR test and an anti-nucleocapsid antibody test were negative. We ultimately diagnosed the patient with JSF, not COVID-19. The number of JSF patients in Japan has increased in recent years. Since the clinical presentation of JSF patients and COVID-19 patients is similar, a careful medical history and physical examination are necessary to make the differential diagnosis.</p>
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 97 (2), 69-74, 2023-03-20
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390858441645407360
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- ISSN
- 1884569X
- 03875911
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可
