Severe Fever with Thrombocytopenia Syndrome in Vietnam
April 27th, 2019Tran X, Yun Y, Van An L, Kim S, Thao NT, Man PC, et al. Endemic Severe Fever with Thrombocytopenia Syndrome, Vietnam. Emerg Infect Dis. 2019;25(5):1029-1031. https://dx.doi.org/10.3201/eid2505.181463
“…..Severe fever with thrombocytopenia syndrome virus (SFTSV) is a tickborne virus (genus Phlebovirus, family Phenuiviridae) that can cause a mild to severe febrile illness similar to hemorrhagic fever…..
On October 29, 2017, a 29-year-old woman (Hue 06-Vietnam-10-2017) was hospitalized at Hue University Hospital because of headache, vomiting, and gum bleeding. She lived in Hue City and was unaware of having received an insect bite. Her temperature was 38°C, and blood tests showed leukopenia (leukocyte count 1,900 cells/μL [reference 4,000–10,000 cells/μL]), thrombocytopenia (platelet count 125 × 103/μL [reference 150–450 × 103/μL]), and a low hematocrit level (34.3% [reference 36%–44%]). The patient fully recovered without other complications after 5 days.
On November 2, 2017, a 27-year-old man (Hue 13-Vietnam-11-2017) was hospitalized at Hue University Hospital because of headache and fatigue. He had had dengue fever at 8 years of age. Blood tests showed thrombocytopenia (platelet count 14 × 103/μL), normal leukocyte count (7,410 cells/μL), mildly elevated aspartate aminotransferase (84 IU/L [reference 8–38 IU/L]), elevated alanine aminotransferase (98 IU/L [reference 4–44 IU/L]), and mildly elevated hematocrit (47.6% [reference 36%–44%]). He fully recovered without other complications after 7 days…….”