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Case Reports
. 2019 Sep 9;20(6):251-254.
doi: 10.1002/jgf2.273. eCollection 2019 Nov.

Severe fever with thrombocytopenia syndrome complicated with subdural hematoma: A rare case and literature review

Takeshi Endo  1 , Norio Yamamoto  2 , Shinichiro Inoue  3 , Tsutomu Yoshikane  4 , Naoki Fujisawa  5 , Toshihiro Imada  6 , Shuzo Hattori  1
Affiliations
Case Reports

Severe fever with thrombocytopenia syndrome complicated with subdural hematoma: A rare case and literature review

Takeshi Endo et al. J Gen Fam Med. .

Abstract

A 79-year-old woman presented with fever and general malaise. Examination revealed hepatic injury, thrombocytopenia, skin lesions, and regional lymphadenopathy; severe fever with thrombocytopenia syndrome (SFTS) was diagnosed using polymerase chain reaction. The patient developed impaired consciousness that worsened after 4 days. Magnetic resonance imaging of the head revealed a subdural hematoma in the occipital region with an uncertain onset time. As SFTS rarely causes intracranial hemorrhage, the associated risk factors are unknown. Clinicians may overlook potential intracranial hemorrhage in stuporous SFTS patients.

Keywords: consciousness disturbance; intracranial hemorrhage; severe fever with thrombocytopenia syndrome; subdural hematoma.

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Conflict of interest statement

The authors have stated explicitly that there are no conflicts of interest in connection with this article.

Figures

Figure 1
Figure 1
Imaging features of the right occipital region. A, Diffusion‐weighted magnetic resonance imaging on day 11 revealing an area of hyperintensity. B, Noncontrast computed tomography on day 19 revealing an area of hyperdensity
Figure 2
Figure 2
Clinical course of the case, including features, laboratory data, and drug administration. ALT, alanine transaminase; AST, aspartate transaminase; CK, creatine kinase; CT, computed tomography; Hb, hemoglobin; LDH, lactate dehydrogenase; MRI, magnetic resonance imaging; Plt, platelet count; WBC, white blood cell count
See this image and copyright information in PMC

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