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Provedor de dados:  BJID
País:  Brazil
Título:  Clinical and laboratory characteristics of severe fever with thrombocytopenia syndrome in Chinese patients
Autores:  Weng,Yali
Chen,Nian
Han,Yaping
Xing,Yiping
Li,Jun
Data:  2014-01-01
Ano:  2014
Palavras-chave:  Thrombocytopenia
Bunyaviridae infection
Clinical features
Laboratory characteristics
Resumo:  Severe fever with thrombocytopenia syndrome (SFTS) associated with severe fever with thrombocytopenia syndrome virus (SFTSV) is an emerging infectious disease. 12 patients with severe fever with thrombocytopenia syndrome in our study were presented mainly with fever and severe malaise. The clinical manifestations typically became worse on the 6th or 7th day. The average fever time is 9.11 ± 1.54 days. Most of them had multiorgan dysfunction, and part of them had hemophagocytic lymphohistiocytosis histiocytosis (HLH). The characteristic laboratory findings in the early stage were the drop of white blood cells (WBC), platelets (PLT) and serum Ca++, while increase of aspartate amino transferase (AST), creatine kinase (CK), and lactate dehydrogenase (LDH). CD3+CD4+ were significantly decreased, while CD3-CD56+ were significantly increased, whereas CD3+CD8+ were constantly elevated throughout the disease course. Ten to 14 days after illness onset, symptoms were improved, accompanied by resolution of laboratory abnormalities. These results indicate that severe fever with thrombocytopenia syndrome has an acute onset and self-limited course. It is a systemic infection. The host immune response caused tissues and organs injury. The improvement of symptoms and laboratory tests is consistent with the elimination of the virus and recover of immune response. Further investigation should be done in order to better understand this disease and guide the clinical treatment.
Tipo:  Info:eu-repo/semantics/report
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100088
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2013.05.011
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.18 n.1 2014
Direitos:  info:eu-repo/semantics/openAccess
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